脐尿管癌13例诊治分析

目的探讨脐尿管癌的诊断和治疗。方法回顾性分析13例脐尿管腺癌的临床症状,影像学特点,病理学结果治疗和随访结果。结果血尿和膀胱刺激症状是最常见的临床症状。肿瘤大小平均为5.6cm,侵犯膀胱4例、脐周皮肤2例。行细针穿刺细胞学检查发现腺癌细胞2例。手术切除病变11例,术式包括:扩大性膀胱部分切除(9例)和根治性膀胱全切(2例)。2例行单纯盆腔放疗。复发和转移者行综合治疗。5年生存率为30.7%。结论CT是具有较高价值的诊断方法;B超引导下穿刺可得出组织学诊断;膀胱扩大切除术是可供选择的治疗方式;综合治疗可应用于复发转移者。

Diagnosis and Treatment of Urachal Carcinoma: a Report of 13 Cases

Objective To evaluate the diagnosis and treatment of urachal carcinoma.Methods Clinical date,image,labotory studies and follow -up data 13 patients with brachial carcinoma were retrospectively reviewed.Results The most complaints were hematuria and irrigative symptoms.Average diameter of the tumor was 5.6cm.Invasion to the bladder and skin around umbilicus were noted in 4 and 2 cases,respectively.11 patients received operation,9 of them underwent extensive partial excision of bladder and 2 patients underwent radical cystectpmy.2 patients were treated by pelvic radiotherapy alone.Recurrent diseases were treated by combined modality treatment.The 5 years survival rate had been 30.7%.Conclusion CT is useful in the diagnosis of Urachal Carcinoma; biopsy guided by ultrasonography can made histological diagnosis.Extensive partial excision of the bladder is the treatment of choice for brachial carcinoma.Combined modality should be consided in patients with recurrent or metastatic diseases.