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タイトル: | 膀胱腫瘍に対する膀胱全摘術40例の臨床的検討 |
その他のタイトル: | Clinical analysis of 40 total cystectomies for bladder tumor |
著者: | 滝, 洋二 林, 正 日裏, 勝 龍治, 修 武縄, 淳 桐山, 啻夫 |
著者名の別形: | TAKI, Yoji HAYASHI, Tadashi HIURA, Masaru RYOJI, Osamu TAKENAWA, Jun KIRIYAMA, Tadao |
キーワード: | Bladder tumor Total cystectomy |
発行日: | Sep-1989 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 35 |
号: | 9 |
開始ページ: | 1489 |
終了ページ: | 1495 |
抄録: | Between June, 1983 and December, 1988, 40 patients with primary bladder tumor underwent total cystectomy. Of the 40 patients, 33 (82.5%) were treated by total cystectomy at first presentation. Only 7 patients (17.5%) had prior history of bladder tumors. The mean time from the onset of symptoms to consultation was 11.5 months. In 68.5% of the evaluable 35 patients, gross hematuria was the first symptom. In 74.4% of the 39 evaluable patients, preoperative urine cytology was positive. If class III (suspicious) was included, the positive urine cytology rate was 82.1%. The operative mortality rate was 15%. Early complications occurred in 52.5% of the 40 patients. Late complications occurred in 35.3% of the 34 patients. The 1-, 2- and 3-year actual survival rates of the 40 patients were 69.6%, 65.5% and 65.5% respectively. The 2-year survival rate according to pathologic stage was 14.3% for patients in pT4, 43.8% in pT3b, 75% in pT3a, 100% in pT2, 78.8% in pT1 and 100% in pT0 + pTis. Of the 28 patients who underwent pelvic lymphadenectomy, 8 (28.6%) had positive nodes, including 1 of 1 (100%) in pT4, 5 of 7 (71.4%) in pT3b, 1 of 6 (16.7%) in pT3a, 1 of 4 (25%) in pT2 and 0 of 10 (0%) in pT1 + pT0 + pTis. The prognosis of the 7 patients who had prior history of bladder tumor was poor. The selection of initial therapy and the clinical follow-up should be done carefully. |
URI: | http://hdl.handle.net/2433/116682 |
PubMed ID: | 2816614 |
出現コレクション: | Vol.35 No.9 |
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