摘要
目的 提高对膀胱内翻性乳头瘤（IPB）的诊断和治疗水平。方法 回顾性分析33例IPB的临床资料，29例采用经尿道膀胱肿瘤电切术（TURBT），4例行膀胱部分切除术，术后膀胱灌注化疗预防复发。结果 病人术后生存良好，30例获得随访3mo～2a，未见肿瘤复发或恶变。结论 IPB是一种少见的尿路上皮肿瘤，预后良好。诊断依赖于膀胱镜检及术后病理检查，TURBT是本病主要的治疗方法，术后予膀胱灌注化疗有利于预防复发。
Objective To improve the diagnostic and therapeutic methods of inverted papilloma of the bladder （IPB）. Methods Data of 33 cases with IPB were retrospectively analysed and discussed with reference to the literature. 29 patients underwent transurethral resection of the bladder tumor （TURBT） and 4 patients underwent partial cystectomy. All patients were treated with intravesical instillation with chemotherapeutic drugs after the operation to prevent recurrence. Results Recurrence and malignant change were not found postoperatively during a 3-month to 2-year follow-up in 30 cases. Conclusions IPB is a rare urothelial tumor and is featured with good prognosis. Cystoscopic examination in combination with postoperative pathologic study is the most important diagnostic method. TURBT is the standard therapeutic choice. Intravesical instillation with chemotherapeatic drugs after initial operation is beneficial to prevent recurrence.
出处
《世界肿瘤杂志》
2007年第2期123-124,149,共3页
Tumour Journal of the World
关键词
膀胱肿瘤
内翻性乳头状瘤
治疗
bladder neoplasms
inverted papilloma
treatment
