摘要
目的探讨上尿路肿瘤术后再发膀胱癌的发生规律及防治对策.方法采用回顾性研究,对43例上尿路肿瘤临床资料进行分析.结果43例上尿路肿瘤术后再发膀胱癌11例,占25.6%,首发时间为6个月～9a,平均19个月.首次发生之膀胱肿瘤以浅表性为主,其相应原发上尿路肿瘤病理分期以Ta、T1(10/11)为主,细胞分级以G2(8/11)为主.术后1 a内再发者4例,1、2 a者4例,2、3 a者1例,>3 a者2例,复发二次以上者7例(63.6%).结论上尿路肿瘤术后再发膀胱癌与上尿路肿瘤的分期、分级有关,上尿路肿瘤术后再发的膀胱癌有更易复发的倾向,应早期防治.
[Objective] To study the clinicopathological features and methods of prevention and treatment of recurrent bladder tumors following surgery for upper urinary tract tumor （UUTT）. [Methods] 43 cases of the upper urinary tract tumor （UUTT） were analysed. [Results] There were 11 cases of recurrent bladder tumors among 43 cases of UUT]＇. The time of initial recurrence was between 6 months to 9 years （average 19 months）. There were superficial bladder tumors in most cases （10/11）. There were 10 cases out of 11 relative uuTr in Ta and T1,8 out of 11 in Grade Ⅱ. There were 4 recurrent bladder tumor whthin 1 year after surgery. 4 cases of recurrent bladder tumor oecured from 1 to 2 years, 1 cases from 2 to 3 years, 2 cases from 3 to 9 years. 7 eases reeured in 11 eases of the recurrent bladder tumor after surgery. [Conclusions] The recurrence of bladder tumor was related to the pathological grade and clinical stage of UUTT. The recurrent bladder tumor of UUTT recurred easily after surgery and other methods were taken. Early prevention and treatment were necessary for the patient with uuTr after surgery.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2005年第19期3015-3017,共3页
China Journal of Modern Medicine
关键词
肾盂肿瘤
输尿管肿瘤
复发
膀胱肿瘤
kidney tumor
ureteral neoplasm
recurrence
bladder tumor
