陰茎癌の臨床的観察 : 特に遠隔治療成績に就て

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1. The result of clinical observations, made in 40 cases of penis cancer, which had been seen in our clinic during a period of 15 years from 1942 to 1956, was analyzed statistically. These cases were investigated histologically also. 2. Age distribution of patients under study shows that the majority were between 50 and 60 years of age, and that the minimum age is 24 and the maximum age 77, with an average of 50.8. 3. Of 40 patients under study, 26 had phimosis. Cancerous growth originated in the glans penis in the majority of them. 4. The largest occupational group of patients consisted of those who engaged in agriculture. So far as the patients under study are concerned, development of penis cancer has no relation to occupation and past medical history. 5. Neary all the patients under study were first seen by us within 1 year after onset of the disease, but hardly any one consulted a doctor in its early stages. 6. Cancerous growths under study were divided according to macroscopic observations into the following types : papilla type (18), ulceration type (14), mass type (2), infiltration type (2), and papilla-ulceration type (1). (Numbers in brackets refer to those falling in each type. Among them there is 1 patient whose condition should have been diagnosed as chronic granuloma.) 7. The patients under study were treated with penis amputation, a combination of penis amputation with extirpation of the local lymph glands, excision of the external genitalia, X-ray irradiation or administration of anti-cancerous agents. It had better been borne in mind in treating patients with penis cancer that enlargement of nearby lymph glands may not always represent metastasis, but may sometimes be inflammatory inorigin. 8. Histologic investigation of cancerous growths in 32 cases showed that all had prickle cell carcinoma. Detailed description is given of 8 cases that showed varying forms of keratinization of the prickle cells. The giant cells were found only in 1 case which should have been diagnosed as of chronic granuloma.
千葉大学の論文
1959-03-28

陰茎癌の臨床的観察 : 特に遠隔治療成績に就て

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