Jakse G, Jacobi G H, Altwein J E
Urologe A. 1979 Mar;18(2):86-90.
During a 10 year follow-up, 18 patients with primary adenocarcinoma of the bladder or urachus were treated operatively. We report on the therapy and results. The criteria for differentiation between primary adenocarcinoma of the bladder and urachal carcinoma are stressed. Chronic irritation of the urothelium is most likely involved in the natural histroy of primary adenocarcinoma. Cystectomy should be the therapy of choice for the adenocarcinoma of the bladder. A partial resection is recommended for urachal carcinoma. Palliation is possible with cytotoxic agents. Irradiation seems to be of no beneficial effect on tumor growth.
在10年的随访期间，对18例原发性膀胱或脐尿管腺癌患者进行了手术治疗。我们报告了治疗方法及结果。着重阐述了膀胱原发性腺癌与脐尿管癌的鉴别标准。尿路上皮的慢性刺激很可能与原发性腺癌的自然病程有关。膀胱腺癌的治疗首选膀胱切除术。脐尿管癌建议行部分切除术。细胞毒性药物可实现姑息治疗。放疗似乎对肿瘤生长没有有益影响。
