脐尿管癌12例诊治与预后分析  

Diagnosis and treatment and prognosis analysis of urachal carcinoma cancer

作　　者：廖凯[1] 董文瑞[1] 马晋[1] 范地兵 

机构地区：[1]广元市第一人民医院泌尿外科,四川广元628000

出　　处：《四川医学》2012年第7期1210-1212,共3页Sichuan Medical Journal

摘　　要：目的探讨脐尿管癌的诊断、治疗和影响预后因素。方法回顾性分析1995年1月～2011年12月我院收治的12例脐尿管癌患者,对其临床和病理资料进行分析,重点探讨脐尿管癌的临床特点、诊断、治疗方式及预后因素。结果 12例患者均行手术治疗,其中4例根治性切除,8例行广泛性扩大膀胱部分切除术。术后有4例出现远处转移,行化疗。本组12例患者均进行随访,其中1年生存率为83.3%(10/12),3年生存率为58.3%(7/12)。5年生存率为25.0%(3/12)。结论脐尿管癌是不多见的恶性肿瘤,临床预后差,手术为主要治疗手段,早期诊断及治疗及行扩大性膀胱部分切除术可以达到长期无病生存的效果。Objective To explore clinical diagnosis and treatment and prognosis analysis of urachal carcinoma cancer.Methods We retrospectively analyzed 12 cases who had urachal carcinoma cancer treated in our department from January 1995 to December 2011 in combination with review of the relevant literatures.Specifically,we sought to investigate diagnosis,treatment methods and prognosis factors.Results All cases were given operational treatment,4 patients underwent extensive partial cystectomy and 8 patient received conventional partial cysteetomy.4 patients were romote metastasis and chemo-treat.The 1 years,3 years and 5 years survival rate had been 83.3%,58.3%,30.7%.Conclusion Urachal carcinoma cancer is a rare malignancy condition with poor prognosis.Surgical excision is the main method of treatment.Longterm disease free survival can be achieved with extensive partial cystectomy in the early period.

关 键 词：脐尿管癌 诊断 治疗 预后 

分 类 号：R737.15[医药卫生—肿瘤]