论文部分内容阅读
阴茎恶性淋巴瘤极少见,现报告1例。患者34岁,1989年6月17日因阴茎无痛性肿物生长迅速,无排尿困难2个月而入院。既往史,2年前,患者出现右锁上肿物,约4×6cm,固定。病理切检示:恶性淋巴瘤B-小淋巴细胞型。临床诊断为恶性淋巴瘤ⅣA,行斗蓬野局部放疗,剂量30Gy,并加全身化疗,CHOP方案,总量VCR3mg,CTX2.0g,平阳霉素20mg,强地松420mg,同时加用VP-16200mg,DDP20mg,阿霉素30mg,肿物消失,疗效CR,至今未见复发。查体:胸片(-),B超腹部(-),全身无浅表淋巴结肿大。阴茎于背部一肿物,约4×4×3cm,界不清,质硬,皮肤正常无破溃,双侧睾丸正常。术前考虑继发性阴茎淋巴瘤,行肿物局部广泛切除
Penile malignant lymphoma is rare and is now reported in 1 case. The patient was 34 years old, and on June 17, 1989, the painless mass of the penis grew rapidly and there was no difficulty in urinating for 2 months before admission. Past history, 2 years ago, the patient had a right locking mass, approximately 4 x 6 cm, fixed. Pathological examination revealed: malignant lymphoma B-small lymphocyte type. The clinical diagnosis of malignant lymphoma IVA, line Doppler field local radiotherapy, dose 30Gy, plus systemic chemotherapy, CHOP program, total VCR3mg, CTX2.0g, Pingyangmycin 20mg, pine 420mg, while adding VP-16200mg , DDP20mg, doxorubicin 30mg, disappearance of the tumor, efficacy CR, no recurrence. Physical examination: chest X-ray (-), B-abdomen (-), no superficial lymphadenopathy. Penis on the back of a tumor, about 4 × 4 × 3cm, unclear, hard, normal skin without ulceration, bilateral normal testes. Preoperative consideration of secondary penile lymphoma with extensive local resection of the tumor