脐尿管癌10例治疗体会  

Experience in Treatment of Urachal Carcinoma in 10 Cases

作　　者：张建伟[1] 郭宝印[1] 闫成智 

机构地区：[1]天津市宝坻区人民医院泌尿外科,天津301800

出　　处：《继续医学教育》2017年第4期107-109,共3页Continuing Medical Education

摘　　要：目的探讨脐尿管癌的诊断、鉴别诊断及治疗方法。方法回顾分析我院诊治的10例脐尿管癌患者的诊治过程、就诊资料。结果 10例患者,其中男性7例,女性3例,中位年龄49岁,4例行脐尿管肿瘤切除术+扩大膀胱部分切除术,6例行脐尿管肿瘤切除术+膀胱根治性切除术。术后病理黏液腺癌7例、中分化腺癌2例、乳头状腺癌1例。术后予以顺铂+氟尿嘧啶化疗。术后随访中位生存时间17个月。结论脐尿管癌起病隐匿,早期诊断困难,恶性度高,预后差。手术是主要的治疗手段。Objective To investigate the diagnosis, differential diagnosis and treatment of urachal carcinoma. Methods The diagnosis and treatment of 10 patients with urachal carcinoma were reviewed and analyzed. Results 10 patients, there were 7 males and 3 females. The median age was 49 years old. 4 cases undergo urachal tumor resection ＋ extended partial resection of the bladder, 6 cases undergo urachal tumor resection ＋ radical, resection of bladder. Pathologic： 7 cases were mucous adenocarcinoma, 2 cases were differentiated adenocarcinoma, 1 case was papillary adenocareinoma. Cisplatin ＋ fluorouraeil chemotherapy after surgery. The median survival time was 17 months. Conclusion Urachal carcinomaisoccult onset, difficultly early diagnosis, and high malignancy and poorly prognosis. Surgery is the main treatment.

关 键 词：脐尿管癌 诊断 治疗 

分 类 号：R737[医药卫生—肿瘤]