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題 名 | Squamous Cell Carcinoma of the Bladder: A Ten-Year Retrospective Study=膀胱鱗狀上皮細胞癌的十年臨床經驗 |
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作 者 | 王大民; 張慧朗; 黃世聰; 謝明里; 崔克宏; | 書刊名 | 長庚醫學 |
卷 期 | 21:4 1998.12[民87.12] |
頁 次 | 頁415-420 |
分類號 | 415.837 |
關鍵詞 | 鱗狀上皮細胞癌; 膀胱癌; Squamous cell carcinoma; Bladder neoplasm; |
語 文 | 英文(English) |
中文摘要 | 背景:關於膀胱鱗狀上皮細胞癌的治療效果的報導並不是很多,所以在本篇文章 我們將報告膀胱鱗狀上皮細胞癌長期追蹤的預後。 方法:我們回顧了從民國75年至85年林口長庚醫院的22名膀胱鱗狀上皮細胞癌的病例,平均 追蹤時間從12個月至111個月。 結果:治療的方式包括有7例接受經尿道刮除術,6例接受全膀胱切除術和尿液分流術,8例 接受術前的放射線治療和全膀胱切除術,另外有1例接受部分膀胱切除術。平均5年的存活率 是9%,而且僅有6例在診斷之後活過2年。至於術前接受放射線治療再加上全膀胱切除術的 病人共8位,其5年的存活率是12.5%,而術前沒有接受放射線治療而只做全膀胱切除術的6 位病人的存活率是0%,但是這兩群病患間仍然沒有統計學上的差異。 結論:從我們10的臨床經驗得知,術前的放射線治療再加上全膀胱切除術對於膀胱鱗狀上皮 細胞癌的5年存活率並沒有明顯的助益,這結果可能是我們的病患大部份都是屬於較為後期 的局部侵犯性膀胱癌,或者是因為本文所搜集的病例數太少之故。另外全膀胱切除術雖然不 能改善5年的存活率,但是在2年存活率方面卻有統計學上的差異。 |
英文摘要 | Background:There is a limited amount of information available on treatment efficacy and optimal management of squamous cell carcinoma of bladder. The goal of this study was to assess the long-term outcome of patients with squamous cell carcinoma of the bladder treated using different modalities. Materials and Methods: Retrospective analysis of the medical records of 22 patients with squamous cell carcinoma of the bladder treated at Chang Gung Memorial Hospital from 1986 though 1996 was performed. The follow-up period ranged from 12 months to 111 months. Results: The treatment modalities included transurethral resection in 7 patients , radical cystectomy with urinary diversion in 6 patients, preoperative radiation followed by total cystectomy in 8 patients, and partial cystectomy in one patient. The overall 5-year survival rate was 9 %. Only 6 patients(27.3%) in this series were alive two years after diagnosis. Treatment using a combination of modalities including preoperative radiation followed by total cystectomy resulted in a 5-year survival rate of 12.5% in 8 patients. Total cystectomy alone in 6 patients resulted in a 5-year survival rate of 0%. However,the difference in survival rates between these 2 treatment groups was not statistically significant. Conclusion: Our results suggest that no definite significance concerning the role of preoperative radiation followed by total cystectomy could be drawm. The results were probably because most of our patients had locally advanced bladder cancer. Another consideration is the small sample size, which may have affected the significance. Although, cystectomy did not improve the 5-year survival rate of patients in this series, it improved the 2-year survival rate. |
本系統中英文摘要資訊取自各篇刊載內容。