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首页> 外文期刊>Equine Veterinary Education >Case Report: En bloc resection of the penis in five geldings
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Case Report: En bloc resection of the penis in five geldings

机译：病例报告：阴茎全切除五种胶

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摘要

Squamous cell carcinoma (SCC) is the most commonly occurring neoplasm of the equine penis, encountered most frequently in aged pony geldings (Walker and Vaughan 1980; Howarth et al. 1991). The presence of smegma, normally secreted in this region, is considered to be a likely contributing factor in its development (Cox 1987; Brinsko 1998). Penile SCC tends to be locally invasive, exhibiting low-grade malignancy, and may have been present for a considerable period before diagnosis (Mair ef at. 2000). Successful therapy is dependent upon early recognition and suitable treatment (Markel et al. 1988). Nonsurgical treatments include cryotherapy, chemotherapy or laser, which may be combined with surgical debulking (Fortier and McHarg 1994; Brinsko 1998). Where more extensive lesions are present, surgical removal is recommended. A variety of surgical treatments can be performed depending on the site of the lesion and surgeon preference (Schumacher 1999). Posthioplasty ('reefing' or 'circumcision') can be performed where lesions circumferentially affect portions of the penis involving only the penile skin and superficial tissues (Markel et al. 1988). Partial phallectomy is indicated where the glans or body of the penis are involved and a variety of techniques have been described (Scott 1976; Chesney 1980; Walker and Vaughan 1980; Cox 1987). En bloc resection is required where there is extensive neoplastic involvement of the penis and prepuce with or without involvement of the superficial inguinal lymph nodes (Markel et al. 1988). This procedure is uncommonly indicated and is more radical than the other surgical techniques described. The aim of this paper is to describe a slightly modified version of the technique described by Markel et al. (1988) and todetail the post operative progress of 5 geldings who underwent this procedure at the hospital.
机译：鳞状细胞癌（SCC）是马阴茎最常见的肿瘤，在老龄小马gel中最常见（Walker和Vaughan 1980; Howarth等人1991）。通常在该区域分泌的包皮垢被认为是其发展的可能因素（Cox 1987; Brinsko 1998）。阴茎鳞癌往往是局部浸润性的，表现出低度恶性，并且可能在诊断之前已经存在了相当长的一段时间（Mair ef at。2000）。成功的治疗取决于早期识别和适当的治疗（Markel等，1988）。非手术疗法包括冷冻疗法，化学疗法或激光疗法，这些疗法可以与外科手术治疗相结合（Fortier和McHarg 1994; Brinsko 1998）。如果存在更广泛的病变，建议手术切除。根据病变部位和外科医生的喜好，可以进行各种外科治疗（Schumacher 1999）。当病变沿周向影响仅涉及阴茎皮肤和浅表组织的阴茎部分时，可进行正位置换术（“收气”或“包皮环切术”）（Markel等，1988）。阴茎局部切除术适用于涉及阴茎头或阴茎体的部位，并且已描述了多种技术（Scott 1976; Chesney 1980; Walker and Vaughan 1980; Cox 1987）。如果阴茎和包皮广泛性肿瘤受累，而腹股沟浅表淋巴结未受累，则需要整块切除（Markel等，1988）。这种方法很少见，比所描述的其他外科手术技术更为激进。本文的目的是描述Markel等人描述的技术的略微修改版本。 （1988年），并详细介绍了在医院接受过这种手术的5种胶粘剂的术后进展。

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