摘要
目的探讨第2次经尿道电切术治疗非肌层浸润性膀胱癌临床疗效及意义。方法对53例非肌层浸润性膀胱尿路上皮癌4周后进行第2次电切术。对残余肿瘤、肿瘤复发、病理分级、分期进行分析。结果 53例中残留肿瘤19例(37.1%),其中3例(14.4%)病理提示肿瘤进展;其余34例(64.1%)未见肿瘤复发。结论高级别、多发、肿瘤直径>3cm的非肌层浸润性膀胱尿路上皮癌常规行第2次电切术,能降低癌肿复发,明确病理分期,改善患者预后。
【Objective】To explore the potential benefit of a second transurethral resection in patients with newly diagnosed non-muscle invaded bladder cancer （NMIBC）. （pTa and pT1）.【Methods】53 patients with stage pTa and pT1 bladder cancer were reviewed during January 2005 and December 2008. All the patients prospectively received a second TUR in 4 weeks after the initial resection. Parameters such as tumor remnant, size, stage and grade were analyzed.【Results】19 （37.1%） cases had tumor recurrence, 34 （62.9%） cases were no recurred and 3（14.4%） cases were found a tumor progression. 【Conclusions】A second TUR should be routinely performed in all cases with NMIBC. （pTa and pT1）, especially those with bladder tumor of high grade cell differentiation. The second TUR is a diagnostic method to evaluate tumor remnant and progression; father more, it has an important significance for a fully tumor resection.
出处
《中国内镜杂志》
CSCD
北大核心
2013年第1期74-76,共3页
China Journal of Endoscopy
关键词
非肌层浸润性膀胱癌
第2次电切
non muscle-invasive bladder cancer
second transurethral resection
