| 脐尿管癌11例诊治分析 |
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| 引用本文： | 杨勇,秦扬,雷永红,肖龙,李俊.脐尿管癌11例诊治分析[J].实用癌症杂志,2010,25(5). |
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| 作者姓名： | 杨勇 秦扬 雷永红 肖龙 李俊 |
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| 作者单位： | 云南省肿瘤医院泌尿外科,650118 |
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| 摘 要： | 目的探讨脐尿管癌的诊断、治疗及方法。方法回顾性分析11例脐尿管癌患者的临床症状、影像学特点、治疗和随访结果。结果 11例脐尿管癌中黏液腺癌9例,腺癌2例。Ⅱ期1例、Ⅲ期9例、Ⅳ期1例。1例经尿道行膀胱肿瘤电切术,于术后2个月肿瘤复发,复发后7个月死亡;2例膀胱部分切除者分别于术后3、4个月复发和(或)转移,并分别于肿瘤复发后2、11个月后死亡;2例膀胱全切患者术后1.2、2年死于肿瘤复发;6例行扩大性膀胱部分切除术,其中4例术后1.1～2.1年死亡,1例术后5年无瘤生存,1例术后1.4年,仍在随访中。结论脐尿管癌发病位置隐匿,早期诊断较为困难,易误诊。主要治疗方法是扩大性膀胱部分切除术。脐尿管癌预后很差。
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| 关 键 词： | 脐尿管癌 诊断 治疗 预后 |
Diagnosis and Treatment of Urachal Carcinoma:a Report of 11 Cases |
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| Institution: | YANG Yong; QIN Yang; LEI Yong-hong; et al.Department of Urinary Surgery; Yunnan Tumor Hospital; Kunming; 650118; |
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| Abstract: | Objective To discuss the diagnosis and treatment of urachal carcinoma.Methods Clinical date,image,Treatment and follow-up data of 11 patients with urachal carcinoma were retrospectively reviewed.Results 9 cases were mucinous adenocarcinoma and the other two were adenocarcinoma.1 patient had stage Ⅱ,9 had stage Ⅲ and 1 had stage Ⅳ disease.Of the 11 patients,1 received TURB and recurrenced at 2 months after operation,and died 7 months after recurrence.2 received partial cystectomy and relapsed at 3 and 4 mont... |
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| Keywords: | Urachal carcinoma Diagnosis Treatment Prognosis |
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