摘要 报道继发性阴茎癌6例，其原发肿瘤部位：膀胱2例，前列腺、直肠、睾丸及阴囊各1例；主要转移途径可能是经逆行血行或淋巴管。临床表现为阴茎异常勃起、弥漫性阴茎肿胀、阴茎结节或溃疡；诊断应结合既往病史；治疗则根据原发肿瘤的化疗及内分泌治疗等，对局部病变也可选用放疗或外科手术。本病患者预后不佳。

Metastatic penile carcinoma(report of6 cases) Ma Jianhui,Tian Jun,WangDong.Department of Urology,Cancer Hospital,Chinese Academy of Medical Sciences,PekingUnion Medical College,Beijing 100021

    Abstract Metastatic penile carcinoma is rare,6 cases were presented of whichthe primary tumor was in the bladder in 2 cases and in the prostate,rectum,testicle andscrotum in the each,Retrograde venous or lymphatic spread might be the cause of themetastasis.The cardinal signs were priapism,diffuse penile swelling and nodularity orulceration of the penile shaft.A past history or an early diagnosis of a primarymalignancy was importance in establishing a diagnosis of metastatic penile carcinoma.Thetreatment consisted of chemotherapy and (or) hormonal therapy for the primary tumor andradiation therapy or surgical management of the metastatic lesion.The prognosis is usualypoor.

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