原発性女子尿道癌の5例

Abstract

1988～1996年の間に65～79歳の原発性女子尿道癌患者5例に治療を行った.主訴は外尿道口の腫瘤2例, 膀胱刺激症状1例, 血尿1例, 及び尿道出血1例であった.組織学的には, 扁平上皮癌4例, 移行上皮癌1例であった.Grabstald等の病期分類上, ステージAが2例, ステージB, C, Dがそれぞれ1例ずつであった.治療法は, 手術療法単独2例, 手術療法及び化学療法の併用1例, 放射線療法単独2例であった.5～89ヵ月の観察上, 癌なし生存3例, 癌あり生存2例であった

Between 1988 and 1996, we treated five patients with primary carcinoma of the female urethra between 65 and 79 years of age. Presenting symptoms included a urethral mass in 2 patients, hematuria in 1, dysuria in 1 and urethral bleeding in 1. Histopathology revealed squamous cell carcinoma in 4 cases and transitional cell carcinoma in 1. Clinical stage according to Grabstald's classification comprised Stage A in two cases, Stages B, C and D in one each. The modes of treatment were surgical resection alone in two, radiation therapy alone in two, and surgery with adjuvant chemotherapy in one case. Three patients without disease and two with disease are olive from 5 to 87 months after diagnosis.