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子宫颈癌病例中的膀胱镜检查:85例临床经验

Cystoscopy in cases of carcinoma of the cervix uteri: clinical experience with 85 cases.

作者信息

Dhall R, das de S K

机构信息

Chittaranjan National Center Institute, Calcutta.

出版信息

J Indian Med Assoc. 1995 Sep;93(9):344-5.

PMID:8648155
Abstract

A retrospective study involving 85 cases of cystoscopy carried out between December, 1989 and July, 1992 in selected cases of carcinoma cervix was undertaken with the purpose of determining the place of cystoscopy in this condition. Cystoscopy was performed only when there was a clinical suspicion of the urinary bladder being involved. Of 67 cases in which cystoscopy was performed as part of staging of carcinoma cervix, one was in stage II, 48 in stage III and 18 in stage IV (stages determined prior to cystoscopy). On cystoscopy of the stage III cases, 50% showed apparent involvement of bladder, 29.17% showed suspicious findings and 20.83% showed negative findings. Of the stage IV cases, 61.11% showed apparent involvement of bladder, 33.33% showed suspicious findings and 5.56% showed negative findings. Of 13 cases in which biopsy was taken cystoscopically, 8 were histologically positive, 4 were histologically negative and one was histologically suspicious for malignancy of the urinary bladder. In the remaining 18 cases cystoscopy was performed during follow-up period.

摘要

一项回顾性研究纳入了1989年12月至1992年7月期间对部分宫颈癌病例进行的85例膀胱镜检查,目的是确定膀胱镜检查在这种情况下的作用。仅在临床怀疑膀胱受累时才进行膀胱镜检查。在作为宫颈癌分期一部分而进行膀胱镜检查的67例病例中,1例处于II期,48例处于III期,18例处于IV期(分期在膀胱镜检查之前确定)。对III期病例进行膀胱镜检查时,50%显示膀胱明显受累,29.17%显示可疑结果,20.83%显示阴性结果。IV期病例中,61.11%显示膀胱明显受累,33.33%显示可疑结果,5.56%显示阴性结果。在通过膀胱镜进行活检的13例病例中,8例组织学检查呈阳性,4例组织学检查呈阴性,1例组织学检查怀疑膀胱恶性肿瘤。其余18例膀胱镜检查是在随访期间进行的。

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