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[膀胱癌患者膀胱切除术的临床病理研究]

[A clinicopathological study on patients with bladder cancer treated with cystectomy].

作者信息

Yamashita S, Taniguchi K, Suzu H, Yushita Y, Sakuragi T, Kanetake H, Shindo K, Saito Y, Hori T, Tasaki T

机构信息

Department of Urology, Nagasaki University School of Medicine.

出版信息

Hinyokika Kiyo. 1990 Oct;36(10):1149-54.

PMID:2264543
Abstract

A clinical and histopathological investigation was made on 170 patients with bladder cancer who underwent total cystectomy at our institutions between 1982 and 1986. The overall 5-year survival rates of patients with pTis + pTa, pT1, pT2, pT3, pT3b and pT4 were 100, 71.8, 60.7, 39.2, 31.4 and 0% respectively, those of patients with G1, G2 and G3 were 100%, 67.6%, 35.7% respectively. As for histopathological growth and spread pattern (INF), intramural lymphatic invasion (ly) and venous invasion (v), INF beta, INF gamma, ly2, v (+) showed the worst prognosis. These histopathological factors were considered to be closely correlated to each other. Studies on these histopathological factors are very important in planning the subsequent therapy.

摘要

对1982年至1986年间在我们机构接受全膀胱切除术的170例膀胱癌患者进行了临床和组织病理学调查。pTis + pTa、pT1、pT2、pT3、pT3b和pT4患者的总体5年生存率分别为100%、71.8%、60.7%、39.2%、31.4%和0%,G1、G2和G3患者的总体5年生存率分别为100%、67.6%、35.7%。至于组织病理学生长和扩散模式(INF)、壁内淋巴浸润(ly)和静脉浸润(v),INFβ、INFγ、ly2、v(+)显示出最差的预后。这些组织病理学因素被认为彼此密切相关。对这些组织病理学因素的研究在规划后续治疗中非常重要。

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