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タイトル: 膀胱全摘術後の膀胱癌骨盤内再発に対する手術療法の検討
その他のタイトル: Pelvic recurrence of bladder carcinoma following total cystectomy
著者: 高士, 宗久  KAKEN_name
村瀬, 達良  KAKEN_name
加藤, 範夫  KAKEN_name
下地, 敏雄  KAKEN_name
三宅, 弘治  KAKEN_name
三矢, 英輔  KAKEN_name
市原, 周  KAKEN_name
著者名の別形: TAKASHI, Munehisa
MURASE, Tatsuro
KATO, Norio
SHIMOJI, Toshio
MIYAKE, Koji
MITSUYA, Hideo
ICHIHARA, Shu
キーワード: Bladder carcinoma
Pelvic recurrence
Surgical treatment
発行日: Jul-1984
出版者: 泌尿器科紀要刊行会
誌名: 泌尿器科紀要
巻: 30
号: 7
開始ページ: 913
終了ページ: 917
抄録: The patients who undergo total cystectomy for high stage bladder carcinoma have poor prognosis because of local extension or distant metastases. In the case of recurrent lesions after total cystectomy, radiotherapy and chemotherapy are generally selected. In some cases of recurrent tumors localized within the pelvic cavity and with no distant metastases, however, surgical resection of the tumor is effective in local disease control combined with radio- and chemotherapy. Surgical treatment is not only effective in reducing the cell number in a bulky tumor, but also improves clinical symptoms and conditions such as pain, bleeding, rectal irritability, intestinal obstruction and so on. We present here three patients who underwent extensive operation for pelvic recurrence of bladder carcinoma following total cystectomy. Two of these cases died of progressive disease, nine months and five months after the extensive operations. The third patient died of acute pericarditis thirteen months after the second operation. Autopsy revealed that the surgical treatment was effective in controlling the local recurrence in the third case. Furthermore, some problems regarding pelvic recurrence and surgical treatment are discussed.
URI: http://hdl.handle.net/2433/118227
PubMed ID: 6507207
出現コレクション:Vol.30 No.7

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