查詢結果分析
相關文獻
- Does Adequate Bladder Cuff Excision Impact Outcomes in Patients Undergoing Nephroureterectomy for Upper Tract Urothelial Carcinoma
- Clinical Experiences of Primary Urothelial Squamous Cell Carcinoma
- Villous Adenomas of the Urinary Tract: Report of Two Cases
- Leiomyosarcoma of the Urinary Bladder: A Case Report
- Enterovesical Fistula: 10 Years Experience
- 下泌尿道外傷
- 泌尿道感染的罕見原因--結腸膀胱瘻管症:病例報告
- Abnormal Clinical and Urodynamic Findings in Women with Severe Genitourinary Prolapse
- 無症狀顯微性血尿的臨床意義
- 兒童泌尿道感染
頁籤選單縮合
題 名 | Does Adequate Bladder Cuff Excision Impact Outcomes in Patients Undergoing Nephroureterectomy for Upper Tract Urothelial Carcinoma=腎臟切除手術併輸尿管全切除包含袖口切除在輸尿管惡性腫瘤之預後因子之評估 |
---|---|
作 者 | 侯鎮邦; 張慧朗; 陳建綸; 林友翔; 崔克宏; | 書刊名 | 長庚醫誌 |
卷 期 | 34:5 2011.09-10[民100.09-10] |
頁 次 | 頁496-505 |
分類號 | 416.27 |
關鍵詞 | 膀胱; 泌尿道; 泌尿上皮; 腫瘤復發; Urinary bladder; Urinary tract; Urothelium; Neoplasm recurrence; |
語 文 | 英文(English) |
英文摘要 | Background: Nephroureterectomy with bladder cuff excision has been the gold standard surgical treatment for upper tract urothelial carcinoma. In this study, we determined the independent prognostic factors for upper tract urothelial carcinoma. Methods: The records of 285 consecutive patients undergoing nephroureterectomy with bladder cuff excision at our institution between 2003 and 2007 were reviewed. Kaplan-Meier survival curves were used to determine the 5-year cancer-specific survival rates for all patient groups. Cox proportional hazard regression was performed to determine the factors that had an independent impact on the survival of patients with upper tract urothelial carcinoma. Results: A total of 192 patients matching the inclusion criteria were enrolled in our study. The mean follow-up time was 43.81 months. We found that the female gender, a lower ureter free of invasion, and an adequate bladder cuff excision were independent factors for a better tumor recurrence-free survival rate. The pathology stage and recurrence (none, intravesical or extravesical) were independent factors for the overall survival rate. A non-adequate ureterectomy including the bladder cuff was associated with a high body mass index (BMI) and the infiltrating tumor pattern of urothelial carcinoma. Conclusion: Nnephroureterectomy together with adequate bladder cuff excision plays an extremely important role in the surgical treatment of upper urinary tract urothelial carcinoma. Patients with incomplete resections of the bladder cuff are at increased risk of tumor recurrence. |
本系統中英文摘要資訊取自各篇刊載內容。