北京医院1995至2004年男性泌尿生殖系肿瘤检出情况调查

目的 探讨北京医院近10年来男性泌尿生殖系统肿瘤的检出情况及肿瘤相关特征。方法 调查北京医院院从1995年1月1日至2004年12月31日泌尿外科住院病人资料,对其中新诊断的肿瘤病人情况进行分析。结果 最常见的3种男性泌尿生殖系统恶性肿瘤为膀胱移行上皮细胞癌、前列腺腺癌和肾脏透明细胞癌,检出例数分别为387例,271例和250例。这些肿瘤的检出例数呈逐年上升的趋势。其中前列腺腺癌和肾脏透明细胞癌的早期检出率随时间的推移有增加的趋势。在就诊原因方面,前列腺癌的变化最大,由于常规体检异常而发现前列腺癌的比例在近些年明显增加。结论 近10年来各种筛选和诊断方式的进步使得男性泌尿生殖系统肿瘤的早期检出情况有了明显的变化。

Detection of urological and male genital tumors diagnosed in Beijing Hospital 1995 - 2004

OBJECTIVE: To investigate the diagnostic condition of urological and male genital tumors in Beijing Hospital during the period 1995 - 2004. METHODS: The clinical data of 1245 patients diagnosed as with urological and male genital tumors that were hospitalized in the Department of Urology, Beijing Hospital from 1 January 1995 to 31 December 2004, 957 males and 288 females, were analyzed retrospectively. RESULTS: The 1245 with urological and male genital tumors accounted for 20.96% of the patients hospitalized in the Department of Urology of this hospital in the same period. The commonest malignancies included transitional cell carcinoma of bladder (n = 387), carcinoma of prostate (n = 271), and clear cell carcinoma of kidney (n = 250). The detected numbers of cases of these three kinds of malignancies increased year by year. The ratio of metastatic carcinoma in prostate and kidney decreased with each passing year. Before 1999 75.48% of the patients with prostate carcinoma visited the hospital because of low urinary tract symptom (LUTS), and only 12.48% because of abnormalities discovered during physical examination, However, after 2000 the percentage of the prostate carcinoma patients who visited the hospital because of LUST deceased to 54.44%, and those because of abnormalities discovered during physical examination increased to 40.99% (P < 0.01). CONCLUSION: The improvement of diagnostic methods has changed the condition of tumor diagnosis in recent years.