尿路内翻性乳头状瘤的诊治(附113例报告)  

Inverted urothelial papilloma (report of 113 cases)

作　　者：沈柏华[1] 何屹[1] 张志根[1] 孟宏舟[1] 蔡松良[1] 谢立平[1] 汪朔[1] 金百冶[1] 

机构地区：[1]浙江大学医学院附属第一医院泌尿外科,杭州310003

出　　处：《中华泌尿外科杂志》2003年第7期491-493,共3页Chinese Journal of Urology

摘　　要：目的　探讨尿路内翻性乳头状瘤的生物学行为 ,临床特点及诊治方式。　方法　尿路内翻性乳头状瘤患者 113例。男 10 2例 ,女 11例。平均年龄 5 5岁。发生于下尿路 10 8例 ,其中行TURBT 87例 ,TURBT加TURP 6例 ,膀胱部分切除术 10例 ,膀胱部分切除术加前列腺摘除术 4例 ,膀胱全切术 1例。发生于上尿路 5例 ,均行患侧肾、输尿管全长切除。　结果　 86例随访 0 .5～ 10年。 5例膀胱内复发 ,其中 2例恶变 ,1例行膀胱全切。　结论　尿路内翻性乳头状瘤为良性肿瘤 ,多见于男性 ,好发于膀胱。膀胱镜检是主要的诊断方法 ,大部分可行TURBT治愈。预后良好。Objective To evaluate the biological behavior,clinical features,and diagnosis and treatment of inverted urothelial papilloma. Methods A total of 113 cases of urothelial inverted papilloma were included in this retrospective analysis.Of them 102 were male and 11 were female,with a mean age of 55 years.Among the 113 cases of urothelial inverted papilloma 108 had the papilloma at low urinary tract.Of these cases,88 were treated by TURBT,6 by TURBT and TURP,10 by partial cystectomy,4 by partial cystectomy and prostatectomy,1 by total cystectomy.Five cases who had the papilloma at upper urinary tract underwent nephroureterectomy. Results 86 cases were followed up 0.5 to 10 years.Intravesical recurrentce occurred in 5 cases.Of them 2 cases developed malignance and 1 case underwent total cystectomy. Conclusions Inverted urothelial papilloma is a benign tumor,which appears male predominant.Most of the lesions localize at the bladder.The diagnosis can be established mainly by cystoscopy.Most of the inverted urothelial papilloma can be cured by TURBT with a satisfactory prognosis.

关 键 词：尿路内翻性乳头状瘤 诊断 治疗 生物学行为 

分 类 号：R737.1[医药卫生—肿瘤]