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目的:探讨以阴茎表现为首发症状的肺癌阴茎转移的临床特征及其诊治。方法:回顾性分析2005年2月~2009年1月收治的3例以阴茎表现为首发症状的肺癌阴茎转移患者的临床资料,结合文献复习分析本病的临床病理特征、诊断、鉴别诊断、治疗及预后等。结果:本组3例患者年龄46~68岁,3例均出现阴茎异常勃起伴疼痛,1例伴有龟头溃疡,3例均经病理活检确诊为肺癌阴茎转移。1例行阴茎切除术+化疗,3个月后死亡;另2例诊断后拒绝进一步治疗,随访1年死亡。结论:肺癌阴茎转移临床上极为罕见,当老年患者初始出现阴茎异常症状时,要注意排除远处肿瘤转移至阴茎的可能性。一旦明确诊断,往往提示疾病到了晚期,治疗上通常采用姑息或支持治疗,但预后并不理想。
Objective: To investigate the clinical characteristics and diagnosis and treatment of penile metastasis of lung cancer with penile performance as the first symptom. Methods: The clinical data of 3 patients with penile metastasis of lung cancer who had penile manifestations from February 2005 to January 2009 were analyzed retrospectively. The clinical and pathological features, diagnosis, differential diagnosis and treatment And prognosis. Results: The three patients in this group were 46-68 years old. Three cases had abnormal penile erection with pain and one case had glaucoma and ulcer. All three cases were diagnosed as penis metastasis by pathological biopsy. One patient underwent penilectomy plus chemotherapy and died after 3 months. The other two patients refused to further treatment after diagnosis, and were followed up for 1 year. CONCLUSIONS: Penile metastasis of lung cancer is extremely rare clinically. When elderly patients initially have symptoms of penile abnormalities, attention should be paid to the possibility of removing distant metastases to the penis. Once the diagnosis is made, it is often suggested that the disease is advanced. Treatment usually involves palliative or supportive care, but the prognosis is not satisfactory.