Matsumoto K
Gan No Rinsho. 1984 May;30(6 Suppl):680-7.
Prognosis of the recurrent cases which broke out after the preservation treatment of the vesical function as a first treatment tend to be worse in comparison with the primary cases. Especially the partial cystectomy has this tendency. Preservation treatment of the vesical function can be applied to the low stage, however, the application of this treatment to the tumor which is indicative of the invasive cancer is very difficult. From the long term observation type 1 (bush type) by the endoscopic classification did not worsen in a recurrence after the treatment with preservation of the vesical function. A repetition of the preservation treatment of the vesical function for a intravesical recurrence will incur a danger that a tumor will be getting worse even if it is low grade or low stage.
作为首次治疗对膀胱功能进行保留治疗后复发的病例,其预后与原发性病例相比往往更差。特别是部分膀胱切除术有这种倾向。膀胱功能的保留治疗可应用于低分期病例,然而,将这种治疗应用于提示浸润性癌的肿瘤非常困难。从长期观察来看,内镜分类的1型(灌木型)在膀胱功能保留治疗后的复发中并未恶化。对于膀胱内复发重复进行膀胱功能保留治疗会带来一种风险,即即使肿瘤是低级别或低分期,也会恶化。