篇名 | 陰莖癌的治療 |
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卷期 | 1:3 |
並列篇名 | The Management of Penile Carcinoma |
作者 | 張進寶 、 李瀛輝 、 陳明村 、 黃榮慶 、 陳光國 、 林登龍 、 李良明 、 張延驊 、 吳宏豪 、 張心湜 |
頁次 | 226-232 |
關鍵字 | 陰莖癌 、 部分陰莖切除術 、 全陰莖切除術 、 鼠蹊部哨兵淋巴結 、 penile carcinoma 、 partical pencetomy 、 total penectomy 、 sentinel lymph node 、 TSCI |
出刊日期 | 199009 |
從民國59年1月至78年12月,本院共治療98位陰莖癌的病人。包括86位下皮細胞癌(Epidermoid Carcinoma),10位疣癌(Verrucous Carcinoma),1位原位癌(Carcinoma in situ)及1位粘膜上皮細胞癌(Muco-epidermoid Carcinoma)。根據本院統計陰莖癌占所有男性癌症病患的0.34%。病人依據Jackson’s臨床分期,第一期占51.02%,第二期20.41%,第三期24.49%,第四期4.08%。本院對於陰莖癌的治療以外科手術為主,包括部分陰莖切除術(partial penectomy)及全陰莖切除術(Total penectomy)。拒絕接受陰莖切除術或較晚期的病患則接受放射線治療、化學治療或兩者合併使用。陰莖上皮細胞癌病人五年存活率:第一期71.88%,第二期45.45%,第三期26.67%,第四期0%;而陰莖疣癌病人五年之存活率平均為75%。(J Uorl R.O.C., 1: 226-232,1990)
Ninety-eight patients with carcinoma of the penis treated over a period of twenty years (1970-1989) were retrospectively analyzed. Of this patients, 86 Patients were epidermoid 10 patients were verrucous carcinoma, one patient was carcinoma in situ and one patient was muco-epidermoid carcinoma. Our series showed that the incidence of penile cancer was 0.34% of all malignant tumors in male. According to Jackson’s clinical staging, 51.02% were in stage I, 20.41% in stage II, 24.49% in stahge III and 4.08% in stage IV. Carcinoma of the penis was chiefly treated with surgical method including partial and total penectomy. Some patients who refused penectomy or advanced case were transferred to Cancer-Therapeutic Center for radiotherapy, chemotherapy or combined treatment. Five years survival rate of epidermoid carcinoma of penis was 71.88% in staghe I, 45.45% in stage II, 26.67% in stage III and 0% in stage IV. The average five years survival rate of verrucous carcinoma of penis was 75%.