摘要
目的:提高膀胱腺癌的诊断与治疗水平。方法:分析经手术病理证实的24例膀胱腺癌患者资料。原发性膀胱腺癌23例,原发性膀胱腺癌行根治性膀胱全切除术+尿流改道术9例,行广泛性扩大膀胱部分切除术11例;经尿道膀胱肿瘤切除术2例;未予手术治疗2例。结果:膀胱腺癌占同期膀胱癌的1.6%。22例获得随访,时间为3个月～9年,2例患者失访。本组1年生存率为63.7%,2年生存率50.0%,5年生存率为26.3%。结论:原发性膀胱腺癌宜行根治性全膀胱切除术,对复发、转移性患者应采用综合治疗,以提高生存率。
Objective： To study the diagnosis accuracy and the treatment of adenocarcinoma of urinary bladder. Methods ： Twenty four cases of urinary bladder adenocarcinoma were enrolled, all of them have undergone operation, among them 9 had undergone radical cystectomy , 11 partial cystectomy and 2 TUR - BT,2 patients refused surgical treatment. Results： Urinary bladder adenocarcinoma was 1.6% of the bladder cancer, 22 patients have been followed up for three months to nine years. 1 year survival rate was 63.7%, 2 year survival rate 50.0% and 5 year survival rate 26.3%. Conclusion： Radical total cystectomy should be performed for primary adenocarcinoma of bladder. Comprehensive therapy should be undertaken for patients with metastatic adenocarcinoma or tumor recurrence so as to improve the survival rate.
出处
《现代肿瘤医学》
CAS
2007年第6期828-830,共3页
Journal of Modern Oncology
关键词
畴胱肿瘤
腺癌
治疗
bladder neoplasms
adenocarcinoma
treatment
