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目的 探讨阴茎癌最佳治疗方式。方法 1971年 1月～ 1995年 1月手术治疗阴茎癌 71例 ,其中局部及包皮环切术 5例 ,阴茎部分切除 14例 ,阴茎全切除 2 3例 ,阴茎切除加腹股沟淋巴结清扫 2 9例。结果 获得随访 5 9例 ,其中局部及包皮环切术 5例 ,复发3例。阴茎部分切除加全切除 3 0例 ,死亡 12例 ,死亡率 40 %。阴茎切除加腹股沟淋巴结清扫 2 4例 ,死亡 8例 ,死亡率 3 3 .3 %。结论阴茎癌仍以手术为主 ,确切掌握腹股沟淋巴结清扫指征是提高生存率的关键。而肿瘤病理分级对患者预后起决定性作用。
Objective To explore the best treatment of penile cancer. Methods 71 cases of penile cancer were treated surgically from January 1971 to January 1995. Among them, partial and circumcision was performed in 5 cases, penile partial resection in 14 cases, penile resection in 23 cases, penilectomy plus inguinal lymph node dissection in 29 cases. The results were followed up 59 cases, including 5 cases of local and circumcision, recurrence in 3 cases. Penile partial resection plus total resection 30 cases, 12 died, the mortality rate of 40%. Penile resection plus inguinal lymph node dissection 24 cases, 8 died, the mortality rate 33.3%. Conclusion The penile cancer is still dominated by surgery. It is the key to improve the survival rate that the indications of inguinal lymph node dissection are accurately grasped. The tumor pathological grade plays a decisive role in the prognosis of patients.