泌尿男生殖系多原发恶性肿瘤(附22例报告)

目的　探讨泌尿男生殖系多原发恶性肿瘤的发病率及预后。　方法　回顾性分析近 8年收治的 2 2例多原发恶性肿瘤的发病率、第 1及第 2恶性肿瘤间隔时间及预后。　结果　泌尿男生殖系多原发恶性肿瘤占同期收治的泌尿男生殖系恶性肿瘤的 3 .2 % ,7例同时发病者存活时间平均 15个月 ;异时发生 15例中 3例存活 7个月～ 5年 ,12例在第 2癌治疗后 8个月至 15年仍存活。　结论　泌尿男生殖系多原发恶性肿瘤近年有增加趋势 ,第 1癌治疗后应密切随访 ,及早发现和正确治疗第 2原发癌是延长生存期的关键

Multiple primary malignant neoplasms of urologic and male genital system (report of 22 cases)

Objective To investigate the incidence and prognosis of multiple primary malignant neoplasms of urologic and male genital system. Methods 22 cases of multiple primary neoplasms patients treated from Jan 1980 to Jun 2000 were studied retrospectively. Results The total incidence rate of the multiple malignant neoplasms was 3.2%.In the 7 patients with synchronous occurrence of multiple pramary malignant neoplasms,the survival time was 6 to 40 months,with a mean of 15;In the other 15 patients,3 died after 7 months to 5 years,12 have survived 8 months to 15 years after the second carcinoma being treated. Conclusions Multiple primary malignant neoplasms of urologic and male genital system is more frequently seen ronadays.Early diagnosis and adequate treatment of the second primary carcinoma is the only means to achieve a long survival.So the patient should be closely followed up after the first carcinoma being treated.