陰茎癌の臨床的観察 : とくにその遠隔予後について

概要

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Forty-nine cases of cancer of the penis were treated at the Cancer Institute Hospital between 1947 and 1968. The method of treatment for the primary lesions was mainly radiotherapy, and that for metastasis to the inguinal lymph nodes was lymphadenectomy with or without irradiation. The over-all 5-year survival rate was 87.8%. The cause of death was the exacerbation of metastatic lymphadenopathy. Hematogenous metastasis was found in only one case with lymph node metastasis in our series. The primary lesions were cured in all cases, but the subsequent recurrence and late radiation injury developed in 30% and 35%, respectively. Six recurrent tumors developing later than 5 years can be assumed to be radiation cancer. Radiotherapy was also effective for controlling the recurrent lesions. There were some cases of disturbances in sexual intercourse due to various radiation injuries. The detection rate of metastatic adenopathy was 0% in N_0 stage, 38.9 in N_1N_2N_3 stage, and 100% in N_3 stage, respectively. The over-all 5-year survival rate of metastatic lymphadenopathy cases was 53.8%, and those of cases showing unilateral and bilateral extension were 75% and 0%, respectively.
社団法人日本泌尿器科学会の論文
1976-08-20