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目的:提高对阴茎转移癌诊断和治疗的认识。方法:报道1例54岁直肠腺癌阴茎转移患者资料,结合文献讨论其好发部位、临床表现、发病机制和诊疗措施。结果:患者原发肿瘤与周围组织粘连严重,且有肝转移可能,行横结肠双腔造瘘术,术后给予奥沙利铂、替加氟及亚叶酸钙化疗,患者存活10个月,死于多器官功能衰竭。结论:阴茎转移癌预后差,但早期明确诊断和针对原发肿瘤合理的综合治疗和个体化治疗措施有助于提高患者生活质量、减少痛苦和延长生命。
Objective: To improve the diagnosis and treatment of penile metastatic cancer. Methods: A case of 54 patients with rectal adenocarcinoma who had penile metastasis was reported. The incidence, clinical manifestations, pathogenesis and diagnosis and treatment of rectal adenocarcinoma were reviewed. Results: The primary tumor of the patient had serious adhesion with the surrounding tissues, and there was a possibility of liver metastasis. The patients underwent transcortical double-lumen ostomy and were given oxaliplatin, tegafur and leucovorin after the operation. The patients survived for 10 months and died In multiple organ failure. Conclusions: The prognosis of penile metastatic cancer is poor. However, early comprehensive diagnosis and targeted rational treatment of primary tumors and individualized treatment can help improve the quality of life of patients, reduce pain and prolong life.