膀胱肿瘤的临床统计——325例的临床与病理分析

[Clinical statistics of the bladder tumor--clinical and pathological aspects of 325 cases].

作者信息

Uchida T, Ohori M, Nishimura K, Ikeda S, Mashimo S, Endo T, Ishibashi A, Koshiba K

机构信息

Department of Urology, Kitasato University School of Medicine.

出版信息

Hinyokika Kiyo. 1990 Sep;36(9):1015-21.

PMID:2239606

Abstract

We analyzed 325 primary bladder tumor patients who were treated in our hospital during the past 15 years. There were 242 males and 83 females who were between 20 and 84 years old with an average age of 63 years old. The most frequent complaint was macroscopic hematuria in 76.9% of the patients (250/325). Cystoscopically, a single tumor was seen in 71%, the tumor was medium sized (1 to 3 cm) in 32%, and 56% were papillary tumors with a stalk. Histologically, 300 (92.3%) cases were transitional cell carcinoma. There were 42, 206 and 52 patients with grades 1, 2 and 3 transitional cell carcinoma and stage Tis, Ta, T1, T2, T3a, T3b, T2-4M1 and Tx were 2,46, 151, 30, 15, 16, 37 and 3 cases each. Transurethral resection was performed in 231 (71.1%), partial cystectomy in 6 (1.8%) and total cystectomy in 44 (12.5%) cases each.

摘要

我们分析了过去15年在我院接受治疗的325例原发性膀胱肿瘤患者。其中男性242例，女性83例，年龄在20至84岁之间，平均年龄63岁。最常见的症状是肉眼血尿，占患者的76.9%（250/325）。膀胱镜检查显示，71%的患者为单发肿瘤，32%的肿瘤为中等大小（1至3厘米），56%为有蒂的乳头状肿瘤。组织学检查显示，300例（92.3%）为移行细胞癌。1级、2级和3级移行细胞癌患者分别有42例、206例和52例，Tis、Ta、T1、T2、T3a、T3b、T2 - 4M1和Tx期患者分别为2例、46例、151例、30例、15例、16例、37例和3例。经尿道切除术231例（71.1%），部分膀胱切除术6例（1.8%），全膀胱切除术44例（12.5%）。