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Title: 膀胱腫瘍の臨床的検討
Other Titles: Clinical studies of patients with bladder tumors
Authors: 松浦, 健  KAKEN_name
杉山, 高秀  KAKEN_name
辻橋, 宏典  KAKEN_name
加藤, 良成  KAKEN_name
朴, 英哲  KAKEN_name
国方, 聖司  KAKEN_name
神田, 英憲  KAKEN_name
片岡, 喜代徳  KAKEN_name
永井, 信夫  KAKEN_name
金子, 茂男  KAKEN_name
郡, 健二郎  KAKEN_name
井口, 正典  KAKEN_name
秋山, 隆弘  KAKEN_name
八竹, 直  KAKEN_name
栗田, 孝  KAKEN_name
Author's alias: Matsuura, Takeshi
Sugiyama, Takahide
Tsujihashi, Hironori
Kato, Yoshinari
Boku, Eitetsu
Kunikata, Seiji
Kanda, Hidnori
Kataoka, Kiyonori
Nagai, Nobuo
Kaneko, Shigeo
Kohri, Kenjiro
Iguchi, Masanori
Akiyama, Takahiro
Yachiku, Sunao
Kurita, Takashi
Keywords: Adult
Carcinoma, Transitional Cell/therapy
Follow-Up Studies
Middle Aged
Palliative Care
Urinary Bladder/surgery
Urinary Bladder Neoplasms/mortality/therapy
Issue Date: Jan-1983
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 29
Issue: 1
Start page: 23
End page: 30
Abstract: 178例の膀胱腫瘍の治療成績では,TUR-Btおよび膀胱全摘除術で,膀胱腫瘍の根治的療法として満足できる成績が得られた.TUR-Bt群では,術後の再発,進展と関連する腫瘍のbiological activityをあらわす示標の開発が望まれた.膀胱全摘群では,術前放射線照射,2期手術を考慮することにより,さらに治療成績の向上が期待できる
One hundred and seventy eight patients treated in our clinic were analyzed. The five-year survival rates for the patients (69 cases) given transurethral resection (TUR), total cystectomy (65 cases) and palliative treatment (40 cases) were 92.7%, 61.1% and 3.9%, respectively. The four patients who could not be treated lived no longer than one month. The five-year survival rate for the patients treated with TUR of the tumor was the highest. The recurrence rate for the TUR group was 19.5% at one year, 39.5% at three years and 47.1% at five years after surgery; and, it was higher in the patients with histologically high grade tumors. Generally, we obtained good results with TUR, but total cystectomy had to be performed later on three patients due to progression of the tumor. We felt the need for an indicator to express the biological activity of the tumor, and maintain that regular follow-up by endoscopy and cytology is mandatory. The clinical results of the total cystectomy and urinary diversion were considered to be satisfactory compared to other reports; and, patients with high stage tumor had poor prognosis. Five patients died of progression of the disease after total cystectomy. Operative mortality was 10.7%, which should be decreased by avoiding operative morbidity. In our experience, two-stage operations or preoperative irradiation can increase the indication for total cystectomy; and, improved clinical results are expected.
PubMed ID: 6203375
Appears in Collections:Vol.29 No.1

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