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作者在8年中对159名膀胱上皮癌患者进行了择期手术。6例因肿瘤已广泛转移至腹主动脉分叉未能切除,其余153例进行根治性全膀胱切除、尿路改道和盆腔淋巴结清扫。病理检查显示36例有盆腔淋巴结转移(占25%)。作者对36例进行了单独研究。36例中1例为分化完全的鳞状上皮癌;35例为移行细胞癌,细胞分化Ⅲ级以上。36例中22例因肿瘤转移死亡;14例分别生存15至84个月。他们2年、3年和
The authors performed elective surgery on 159 patients with bladder epithelial cancer over a period of 8 years. Six patients had failed to remove the tumor due to extensive metastases to the abdominal aortic bifurcation. The remaining 153 patients underwent radical cystectomy, urinary diversion, and pelvic lymph node dissection. Pathological examination revealed 36 cases of pelvic lymph node metastases (25%). The author conducted a separate study of 36 cases. Of the 36 cases, one case was a fully differentiated squamous cell carcinoma; 35 cases were transitional cell carcinomas, and the cell differentiation was grade III or higher. Thirty-two of 36 patients died of tumor metastasis; 14 patients survived 15 to 84 months, respectively. They are 2 years, 3 years and