Penile cancer is one of the common malignant tumors in male genital system. In Chinese medicine, it is called “Kidney Rock”. It is also known as “chancre” because of its festering over time, which looks like a pomegranate.
[The cause of the disease]
The patient’s body is not only a patient of the liver, but also a patient of the liver.
2. Dampness and heat in the liver meridian, which is injected through the meridians, blocking the yin channels and causing the disease in the yin organs. Li Yong, Department of Surgery, Feicheng Hospital of Traditional Chinese Medicine
3.The deficiency of liver and kidney yin, internal burning of phlegm and fire, and the interconnection of phlegm and fire, which are gathered in the pubic apparatus and become cancerous.
4, the vegetative circumcision or prepuce is too long, dirt and filth accumulate in the pubic apparatus, long brewing into poison, can also become cancerous.
According to modern medicine, this disease is mostly caused by long-term accumulation of prepuce, stones and dirt in the foreskin, or chronic inflammation or venereal infection, which leads to overproliferation of penile tissue cells – cancer.
[Diagnostic points]
1. This disease is mostly seen in middle-aged and elderly people with a history of prepuce or circumcision. It may be transformed from penile condyloma acuminata.
2. It is usually found in the head of the penis, the inner plate of the foreskin, the penile tether and the coronal groove.
Or cauliflower-like changes. Papillary carcinoma starts as papules or warts, and then becomes cauliflower-like hyperplasia in late stage. Infiltrative carcinoma starts with smooth surface, red color, hard, mildly elevated, growing inward and curled up at the edge.
4.There may be enlarged inguinal lymph nodes, which are even or painful to pressure.
5, the initial systemic symptoms are not obvious, and later can be seen in the diet tasteless, thin shape and fatigue and other symptoms.
6.The diagnosis can be made clearly by biopsy.
7.According to the growth of tumor and the presence or absence of metastasis, there are four clinical stages.
Stage I: tumor is limited to penile head or foreskin.
Stage II: tumor infiltrates the penile shaft or cavernous body without lymph node or distant metastasis.
Stage III: tumor is limited to the penile shaft with inguinal lymph node metastasis.
Stage IV: The tumor infiltrates from the penile body to the surrounding area, with inguinal lymph node and iliac fossa lymph node metastasis or more distant lymph node metastasis.
[Differential diagnosis]
1. Penile tuberculosis: Most of them have a history of genitourinary tuberculosis, or a history of contact with tuberculosis. Pathological biopsy with Mycobacterium tuberculosis can be detected.
The clinical resemblance is very similar to cancer, and tissue biopsy is required to distinguish it.
3.Papillary tumor of the penis: This is a common benign tumor of the penis. It starts as a small local elevation, gradually increases in size and becomes papillary, with or without a tip, red or light red, soft, slow growing, and can have foul-smelling discharge if secondary infection occurs, which can be easily mistaken for penile cancer. It can be differentiated by biopsy.
4.Penile angle: It is a chronic proliferative disease. Local protrusions are striped or columnar in growth, gray-brown or yellow, with clear edges, or dry and hard like ram’s horn, or head shrunken and sharp. Although the proliferative tissue changes, but no cancerous cell growth, rely on pathological examination can be
It can be differentiated by pathological examination.
5.Penile sclerosis: This disease mostly occurs in the penile corpus cavernosum and is mainly localized by fibrous nodules. Although the mass is tough and the boundary is not clear, it is less hard and grows slowly than the cancerous mass, and the surface is smooth and has a certain degree of mobility, and rarely forms ulcers and enlarged inguinal lymph nodes. It is not difficult to distinguish it from penile cancer.
[Treatment principles]
1.Therapeutic treatment in Chinese medicine
(1) Liver depression and phlegm condensation evidence
Main symptoms: Localized hard nodes at the beginning, like vertical flesh, small and hard, painless or slightly painful, localized scratching. It is accompanied by dullness and discomfort in the ribs, discomfort in the abdomen, light or red tongue, white and greasy coating, and string pulse.
Treatment: Dredging and clearing the liver, softening and resolving phlegm.
(2) Damp-heat evidence of liver meridian
Main symptoms: Middle stage of carcinoma, ulcerated lump, with the appearance of turned flowers, sometimes with evil self-purulent blood-like secretions. Swollen and painful inguinal lymph nodes, short, red and astringent urine, irritable and thirsty, red tongue, yellow and greasy moss, and stringy pulse.
Treatment: Clear heat and dampness, detoxify and eliminate swelling.
(3) Liver and kidney yin deficiency evidence
Main symptoms: mid-stage cancer, swelling of the penis, enlargement of rotten flesh, like a flowering pomegranate, distension and pain in the heart, afternoon hot flashes, night sleep and night sweating, thirst and yellow urine, red tongue with little moss, thin pulse.
Commonly used drugs: Ankangxin Capsules Compound Bambusa Capsules Anti-Cancer Ping Tablets Xihuang Pills, etc.
(4) Qi and blood deficiency evidence
Main symptoms: late stage of carcinoma, ulceration of glans with foul-smelling pus and blood-like exudate, flesh on the sore surface is light red or dark red without luster, or the lumps fall off, but no new flesh grows late, bilateral inguinal lymph nodes are obviously enlarged with pressure pain. The patient is lethargic and fatigued, tired and weak, with a pale complexion, a light tongue with little coating and a sunken and weak pulse.
Treatment: Tonify Qi and Blood, detoxify and soften the firmness.
2.External treatment
(1) Surgical treatment.
(1) For precancerous lesions of the penis, such as penile leukoplakia, penile horn, penile papilloma, penile proliferative erythroplakia, penile fibrous sclerosis, etc., timely treatment or surgery should be performed. For patients with prepuce or circumcision, circumcision should also be performed before puberty;
②For stage I or II penile cancer, partial penile excision should be performed according to the situation. For suspected inguinal lymph node metastasis and positive biopsy, lymph node removal should be performed 3 weeks after the wound of primary cancer heals;
If the cancer is too large, or the tumor is limited to the penile shaft, total penile excision should be performed in time, and for those with inguinal lymph node metastasis, inguinal lymph and iliac vessel lymph node removal should be performed at the same time.
(2) Drug external treatment: For those with initial cancer and no lymph node metastasis, external conservative treatment with traditional Chinese medicine is possible.
3.Chemotherapy.
(1) For the treatment of precancerous lesions and early superficial cancer, 5% fluorouracil ointment can be used externally or 5% fluorouracil aqueous solution can be applied wet.
(2) For more limited cancer, contend for 3~5mg each time and inject it at the base of the cancer, once every other day for one month.
(3)If the cancer is deep or metastatic, after penile cancer resection, use 15-30mg of contouromycin, injected intramuscularly once a day or every other day, for a total of 300-600mg. 500mg of hydrogen uracil is added into 500ml of 5% glucose solution and injected intravenously.
4.Other therapies.
(1) Radiotherapy;
(2) Cryotherapy;
(3) Laser therapy;
(4) Diet therapy.
In addition, it can also be combined with qigong therapy to enhance physical fitness to facilitate recovery.