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dc.contributor.author | 川地, 義雄 | ja |
dc.contributor.alternative | Kawachi, Yoshio | en |
dc.date.accessioned | 2010-06-03T04:36:04Z | - |
dc.date.available | 2010-06-03T04:36:04Z | - |
dc.date.issued | 1983-11 | - |
dc.identifier.issn | 0018-1994 | - |
dc.identifier.uri | http://hdl.handle.net/2433/120286 | - |
dc.description.abstract | 膀胱腫瘍術後の20例を対象に, 細胞診を主体とした術後評価をおこなった.初回の治療としておもにTURと術後ADM膀注療法を施行した.術後細胞診陽性例は13例で, 多発性, 最大径1 cm以上, high gradeおよび浸潤性発育の腫瘍に陽性例が多く見られた.Grade 3とStage pT2の症例は全例が術後細胞診陽性で, うち約半数に残存腫瘍組織を確認した.術後細胞診陽性, 生検組織診療性例は, 術後の抗癌剤膀注療法で細胞診の陰性化が見られた.検体の比較では, 膀胱洗滌液が新鮮尿に比べて高い細胞診陽性率を示したが, 新鮮尿にも意義を認めた | ja |
dc.description.abstract | In this preliminary report the usefulness of cytological examinations is emphasized in any follow-up for bladder cancer after surgery. In this study, 20 cases of bladder cancer, 3 of which were initially treated by TUC , 16 by TUR, and one by segmental resection, were followed-up regularly by consecutive cytologies, cystoscopy, and biopsies. Anti-cancer drugs were instilled intravesically after the initial surgery in 16 cases. Cytological examinations one month after surgery gave negative results in 7 cases and positive results in 13 cases; cancer cells were confirmed by means of surgical specimens or biopsy in 6 of the latter cases. Positive cytology was documented in 7/9 cases of multiple tumors, in 10/13 cases of tumors larger than 1 cm in diameter, in 7/7 cases of grade 3 tumors, and in 9/9 cases of tumors more advanced than pTa. Positive cytology and negative biopsy were converted to negative in 7 cases by vesical instillation therapy, even in 4 cases with grade 3 tumors and in 2 cases with pT2 . In 6 cases with histologically proved cancer, urine cytology was positive or suspicious in 37.5% (positive in 25.0%) and vesical washing cytology was positive or suspicious in 71.1% (positive in 44.4%). In 7 cases with positive cytology and negative biopsy, urine cytology was positive or suspicious in 20.6% (positive in 7.7%) and vesical washing cytology was positive or suspicious in 70.8% (positive in 43.6%). The above results reveal that in diagnosing cancer in the bladder, washing-fluid cytology is superior to conventional urinary cytology.(ABSTRACT TRUNCATED AT 250 WORDS) | en |
dc.format.mimetype | application/pdf | - |
dc.language.iso | jpn | - |
dc.publisher | 泌尿器科紀要刊行会 | ja |
dc.subject | Cytodiagnosis | en |
dc.subject | Follow-Up Studies | en |
dc.subject | Humans | en |
dc.subject | Neoplasm Staging | en |
dc.subject | Urinary Bladder Neoplasms/diagnosis/pathology/surgery | en |
dc.subject.ndc | 494.9 | - |
dc.title | 細胞診による膀胱腫瘍術後の評価 | ja |
dc.title.alternative | Value of cytological examination for postoperative bladder cancer | en |
dc.type | departmental bulletin paper | - |
dc.type.niitype | Departmental Bulletin Paper | - |
dc.identifier.ncid | AN00208315 | - |
dc.identifier.jtitle | 泌尿器科紀要 | ja |
dc.identifier.volume | 29 | - |
dc.identifier.issue | 11 | - |
dc.identifier.spage | 1469 | - |
dc.identifier.epage | 1474 | - |
dc.textversion | publisher | - |
dc.sortkey | 11 | - |
dc.address | 順天堂大学医学部泌尿器科学教室 | ja |
dc.address.alternative | The Department of Urology, Juntendo University, School of Medicine | en |
dc.identifier.pmid | 6677099 | - |
dcterms.accessRights | open access | - |
dc.identifier.pissn | 0018-1994 | - |
dc.identifier.jtitle-alternative | Acta urologica Japonica | la |
dc.identifier.jtitle-alternative | Hinyokika Kiyo | en |
出現コレクション: | Vol.29 No.11 |
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