陰茎癌の臨床統計的研究 : 第2報治療成績を中心として

概要

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Fifty-eight cases of cancer of the penis were treated in our clinic between 1955 and 1977. In our first report, we reported clinicostatistical studies on 58 cases of cancer of the penis, and that the over-all 5-year survival rate of 49 cases was 77.6%. In this report, we studied side effects and complications of the treatments, and the prognosis of all sorts of treatments. The results are summarized as follows: Fifteen out of 50 cases (30.0%) suffered from stricture of the urethra after amputation of the penis. Fourteen out of 48 cases (29.2%) suffered from lymphorrhea after inguinal lymphadenectomy. Four out of 14 cases (28.6%) suffered from late radiation injury after radiotherapy of the penis. All of 25 cases (100%) suffered from some side effects of Bleomycin, and 2 cases (8.O%) suffered from pulmonary fibrosis, as the most serious side effect. The over-all 5-year survival rate of 17 cases with Bleomycin treatment was 76.5%, and that of 32 cases without Bleomycin treatment was 78.1%. And, there was no statistically significant difference (P<0.05) in the prognosis among all sorts of treatments to the penis and the inguinal lymphnodes. when we examined the prognosis according to Jackson's staging, the prognosis of high stage was poor, and the cases of high stage were very inclined to resist any other treatments.
社団法人日本泌尿器科学会の論文
1979-07-20