骨および肺に血行性転移をきたした陰茎癌症例(昭和45年より53年までの陰茎癌症例26例の臨床統計的観察)

Abstract

A 69-year-old man with metastases to left tibia and both lungs from penile cancer, was reported. And also, a review was made as to the way of metastases from primary penile cancer, based on 26 cases seen in our hospital from 1970 to 1978. Report of case is as follows. On admission, patient's chief complaint was swelling of his glands penis. Pathological diagnosis was squamous cell carcinoma. He was treated with the combination of irradiation (6600 rads) and bleomycin (210mg). But about 3 months after admission, metastases to left tibia and both lungs were discovered by X-ray examination. And he died 3 weeks afterwards. In this case, the time from detection of the tumor until death was a <1 months. The result of autopsy was as follows. The penile cancer infiltrated to corpus cavernosum and corpus spongiosum, and metastases were found in left deep inguinal lymphnodes, left tibia and both lungs. A statistical study in our 26 cases was as follows. The age of these cases ranged from 38 to 78 with the average 61 years. 20 cases out of 26 were phimotic (79%). Lymphogenous metastases were discovered in 6 (23%), and hematogenous metastases in 3 (12%) out of 26 cases. As to prognosis, 5-year survival rate of 26 cases was 78%, that of cases without metastasis was 88% and that of cases with lymphogenous metastasies was 20%. All the cases with hematogenous metastasized died within a year.