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[一例原发性尿道透明细胞腺癌新病例的呈现及其手术治疗]

[Presentation of a new case of primary clear cell adenocarcinoma of the urethra and its surgical management].

作者信息

Abascal Junquera J M, Cecchini Rosell L, Martos Calvo R, Salvador Lacambra C, Celma Doménech A, De Torres I, Morote Robles J

机构信息

Servicios de Urología y Anatomía Patológica, Hospital Valle Hebrón, Barcelona.

出版信息

Actas Urol Esp. 2007 Apr;31(4):411-6. doi: 10.1016/s0210-4806(07)73657-4.

Abstract

OBJECTIVE

To present a new case of a primary clear cell adenocarcinoma of the urethra and its surgical management.

MATERIAL AND METHODS

We describe the clinical, diagnosis, treatment and development of this kind of tumor. Review of the literature.

CONCLUSIONS

It is an unusual type of cancer associated with poor prognosis. Currently the construction of a continent urinary diversion using the Mitrofanoff principle has many indications as our case. Laparoscopic radical cystectomy can be done by experienced groups without adding much more technical difficulties; there are no long-term oncological outcome data but we believe in some functional advantages.

摘要

目的

介绍一例原发性尿道透明细胞腺癌及其手术治疗情况。

材料与方法

我们描述了这类肿瘤的临床情况、诊断、治疗及发展过程。并对文献进行了回顾。

结论

这是一种预后较差的罕见癌症类型。目前,如我们的病例所示,采用米氏原理构建可控性尿流改道术有诸多适应证。经验丰富的团队可以进行腹腔镜根治性膀胱切除术,且不会增加太多技术难度;虽然尚无长期肿瘤学结局数据,但我们相信其具有一些功能优势。

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