膀胱非移行细胞肿瘤

目的 探讨膀胱非移行细胞肿瘤的诊断和治疗,提高该类肿瘤患者的生存率。方法 回顾性总结１９９０年１月￣１９９７年１２月收治的膀胱非移行细胞肿瘤１８例,其中良性非移行细胞肿瘤３例,恶性非移行细胞肿瘤１５例,临床分期Ｔ３以上１１例。比较了该类肿瘤采用膀胱全切、膀胱部分切除和姑息治疗条件下的生存率。结果 ３例良性非移行细胞肿瘤存活至今。随访１４例恶性非移行细胞肿瘤术后１、３及５年生存率分别为８５．７％、６

Nontransitional cell tumor of the bladder

Objective To study the experience in the treatment and diagnosis of the nontransitional cell tumor of the bladder,and to improve the overall survival rate. Methods The records were reviewed that 18 patients with nontransitional cell tumor of the bladder treated from Jan. 1990 to Dec. 1997 (5 1% of the 352 bladder tumors in the same period).16 7% of the patients had benign tumor, 83 3% malignant. Of the latter 73 3% were invasive. The overall rate of palliative treatment,partial or total cystectomy was compared retrospectively. Results Three patients with benign tumor are alive. The overall survival rate of 14 patients with malignant tumor at 1,3 and 5 years was 85 7%, 66 7%, and 57 1%. Conclusions Most of the patients had haematuria and irritable bladder symptoms. The proper treatment was partial or total cystectomy. The prognosis was apparently related to the tumor stage and therapy method.