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タイトル: | 膀胱腫瘍の臨床的検討 |
その他のタイトル: | Clinical studies of patients with bladder tumors |
著者: | 松浦, 健 ![]() 杉山, 高秀 ![]() 辻橋, 宏典 ![]() 加藤, 良成 ![]() 朴, 英哲 ![]() 国方, 聖司 ![]() 神田, 英憲 ![]() 片岡, 喜代徳 ![]() 永井, 信夫 ![]() 金子, 茂男 ![]() 郡, 健二郎 ![]() 井口, 正典 ![]() 秋山, 隆弘 ![]() 八竹, 直 ![]() 栗田, 孝 ![]() |
著者名の別形: | 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 |
キーワード: | Adult Aged Carcinoma, Transitional Cell/therapy Female Follow-Up Studies Humans Male Middle Aged Palliative Care Prognosis Urethra Urinary Bladder/surgery Urinary Bladder Neoplasms/mortality/therapy |
発行日: | Jan-1983 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 29 |
号: | 1 |
開始ページ: | 23 |
終了ページ: | 30 |
抄録: | 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. |
URI: | http://hdl.handle.net/2433/120105 |
PubMed ID: | 6203375 |
出現コレクション: | Vol.29 No.1 |
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