음경암에서 해면체 침윤여부에 의한 임파절 절제술의 시행결정
Determination of Lymphadenectomy in Primary Penile Carcinoma According to the Corpus Cavernosum Invasion
대한암학회지 1994년 26권 5호 p.801 ~ 805
이백, 홍상준,
소속 상세정보
이백 ( )
경희대학교 치과대학 구강해부학
홍상준 ( )
연세대학교
KMID : 0360319940260050801
Abstract
A total of 31 patients with penile carcinoma were retrospectively analysed. Patients were treated either by partial or total penectomy. Twenty one patients had corpus had corpus cavernosum invasion and other 7 patients exhibited no such invasion.
Tumor
grades were well differentiated (GI) in 7, moderately differentiated(GII) in 12 and poorly differentiated(GIII) in 10 respectively. Twenty patients underwent inguinal node dissection. Metastatic nodes could be correlated with cavernosal invasion
but not
with tumor grade. When tumor grade and stage were analyzed simultaneously, none of T1 GI-III patients(0/4) developed nodal metastasis, but 75% of patients(12/10) with T2-3 GI-III developed metastasis. Thereby justifying 'wait and see' approach in
patients without cavernosal invasion, but early or prophylactic lymphadenectomy should be performed in patients with cavernosal invasion.
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