脐尿管肿瘤5例报告及文献复习  

Report of 5 cases with urachal carcinoma and review of the literature

作　　者：喻华[1] 林剑[1] 张义[1] 周奇[1] 张国顺[1] 段良斌 

机构地区：[1]湖北省汉川市人民医院泌尿外科,431600

出　　处：《现代泌尿生殖肿瘤杂志》2013年第3期143-144,共2页Journal of Contemporary Urologic and Reproductive Oncology

摘　　要：目的探讨脐尿管肿瘤的临床特点和诊疗方法,提高诊治水平。方法总结2009年至2012年收治的5例脐尿管癌患者的临床资料及随访结果,结合国内外文献报道进行分析讨论。结果 5例患者中3例行扩大性膀胱部分切除,1例行膀胱部分切除术,1例转移患者仅行化疗。随访6～48个月.平均20个月。5例患者中未手术者于治疗后6个月死于多处转移,另有1例术后12个月死于其他疾病,其余3例截至2013年5月仍在随访中,未出现肿瘤复发。结论脐尿管肿瘤较为少见,其恶性程度高,预后差,血尿是其最常见症状,扩大性膀胱部分切除术为其主要治疗手段,早期诊断、早期治疗是影响预后及存活的重要因素。Objective To determine the clinical features and method of treatment, improve the standard of diagnosis and treatment. Methods 5 cases of urachal carcinoma treated from 2009 to 2012 were analyzed and related literature was reviewed. Results Three patients underwent exten- sive partial cystectomy ,one patient received conventional partial eystectomy and one advanced tumor patient received chemotherapy. Follow up was 6-48 months. With an average of 20 months. One pa- tient died of distant metastasis 6 months without operation, another patient died of other disease 12 months after operation and 3 patients remained alive up to the last follow up date without recurrence and metastasis. Conclusions Urachal carcinoma is a rare malignancy condition with poor progno- sis. Hematuria is the most common symptoms. Extensive partial cystectomy is the main method of treatment, early diagnose and early treatment are most important factors of prognosis and survival.

关 键 词：脐尿管肿瘤 诊断 治疗 

分 类 号：R737.1[医药卫生—肿瘤]