Kirkali Z, Moffat L E, Deane R F, Kyle K F, Graham A G
Department of Urology, Western Infirmary, Glasgow.
Br J Urol. 1989 Jul;64(1):18-24. doi: 10.1111/j.1464-410x.1989.tb05516.x.
We present a retrospective 10 year analysis of 76 patients with urothelial tumours of the upper urinary tract. Patients older than 65 years, and female patients, presented with more advanced stages and had a worse prognosis. The grade and stage of the tumour has the greatest impact on survival. No conclusions can be drawn on the efficacy of various types of surgery, but simple nephrectomy gave a 5-year survival of 68%, with a stump recurrence rate of 15%. We observed that patients with urothelial tumours had 4 fold increased chance of developing gastrointestinal cancer.
我们对76例上尿路尿路上皮肿瘤患者进行了为期10年的回顾性分析。65岁以上的患者以及女性患者,疾病分期更晚,预后更差。肿瘤的分级和分期对生存率影响最大。关于各种手术方式的疗效尚无定论,但单纯肾切除术的5年生存率为68%,残端复发率为15%。我们观察到,尿路上皮肿瘤患者患胃肠道癌的几率增加了4倍。