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タイトル: | 上部尿路移行上皮癌手術症例の膀胱内再発に関する検討 |
その他のタイトル: | A Clinical Study for Intravesical Recurrence after Surgical Therapy of Urotherial Carcinoma of the Upper Urinary Tract |
著者: | 湯村, 寧 太田, 純一 藤川, 敦 田尻, 雄大 河合, 正記 横溝, 由美子 森山, 正敏 小林, 一樹 野口, 純男 藤浪, 潔 仙賀, 裕 |
著者名の別形: | Yumura, Yasushi Oota, Jun-ichi Fujikawa, Atushi Tajiri, Takehiro Kawai, Masaki Yokomizo, Yumiko Moriyama, Masatoshi Kobayashi, Kazuki Noguchi, Sumio Fujinami, Kiyoshi Senga, Yutaka |
キーワード: | Upper urinary tract cancer Urotherial carcinoma Intravesical recurrence |
発行日: | Jul-2010 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 56 |
号: | 7 |
開始ページ: | 355 |
終了ページ: | 359 |
抄録: | To identify the risk factors for developing subsequent bladder carcinoma in patients undergoing surgical management of urothelial carcinoma (UC) of the upper urinary tract, we retrospectively studied 119 (median age 69, 81 males and 38 females) patients who underwent surgical resection at Yokohama Municipal Citizen's Hospital, Yokosuka Kyousai Hospital and Chigasaki Municipal Hospital from August 1980 to September 2006. After a median follow up of 37.7 months, 42 cases (35.3%) developed recurrent bladder cancer and the intravesical recurrence-free survival rate at 5 years (Kaplan-Meier method) was 57.7%. Bladder cancer was significantly more common in patients who had smaller primary tumors (less than 3 cm: p=0.0444) by univariate analysis. This factor was also identified as independent predictor for the intravesical recurrence by multivariated analysis (p=0.0495, Hazard ratio 2.099). In 42 intravesical recurrence cases, invasive recurrence was seen in 9 cases (21.4%). Invasive recurrence appeared to occur in the patients who were older and had longer interval by intravesical recurrence. |
著作権等: | 許諾条件により本文は2011-08-01に公開 |
URI: | http://hdl.handle.net/2433/123438 |
PubMed ID: | 20724807 |
出現コレクション: | Vol.56 No.7 |
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