二次经尿道双极等离子电切治疗非肌层浸润性膀胱癌

目的 探讨二次经尿道双极等离子电切术(Re-TURBt)治疗非肌层浸润性膀胱癌的疗效.方法 2005年12月至2010年10月共收治231例非肌层浸润性膀胱癌,男性175例,女性56例,年龄28～85岁.在初次经尿道双极等离子电切术后根据肿瘤分期和分级以及标本有无肌层组织进行评估,有63例患者在术后4～6周行Be-TU...

Repeat Transurethral Bipolar Plasma Resection for Non-muscle Invasive Bladder Cancer

Objectives To investigate the efficacy of repeat transurethral resection of tumor in patients with non-muscle invasive bladder cancer.Methods From December 2005 to October 2010,231 patients(175 males,56 females,aged from 28 to 85 years old)with non muscle invasive bladder cancer were evaluated according to tumor stage,grade and muscle or no muscle tissue in initial transurethral resected sample.63 patients underwent repeat transurethral resection of bladder tumor within 4 to 6 weeks after initial resection.Results Of the 63 cases,34.9%(22/63)had residual tumor and 65.1%(41/63)had no tumor on repeat transurethral resection.Of 22 cases with residual tumor 18 had non muscle invasive tumor including 8 in Ta and 10 in T1.Conclusions Routine repeat transurethral resection is advised to non muscle invasive bladder cancer patients with T1 tumor or high grade carcinoma or no muscle tissue in initial transurethral resected sample.Repeat transurethral resection could increases the stage accuracy.