论文部分内容阅读
目的:探讨青少年膀胱癌临床、病理、治疗与预后的特点。方法:回顾性分析20例30岁及以下青少年膀胱细胞癌患者的临床资料。结果:临床表现间断全程无痛肉眼血尿11例,终末无痛肉眼血尿6例,尿路刺激症状1例,查体发现2例。术前均经B超、KUB、CT、膀胱镜、脱落细胞检查确诊。20例患者均行手术治疗,17例行经尿道膀胱肿瘤电切术(TURBT),1例行扩大膀胱部分切除术,2例行全膀胱切除术+回肠原位新膀胱术。17例术后随访6~107个月,平均43个月,3例复发,1例死亡。结论:30岁以下青少年膀胱尿路上皮癌具有分化好、分期早、复发率低及预后好等特点,经尿道电切术及术后定期复查可获得良好的治疗效果及预后。
Objective: To investigate the clinical features, pathology, treatment and prognosis of adolescent bladder cancer. Methods: A retrospective analysis of 20 cases of 30 years of age and younger patients with bladder cancer clinical data. Results: The clinical manifestations of intermittent painless gross hematuria in 11 cases, the terminal painless hematuria in 6 cases, urinary tract irritation in 1 case, physical examination found 2 cases. Preoperative B-ultrasound, KUB, CT, cystoscopy, exfoliated cells diagnosed. Twenty patients underwent surgery, 17 underwent transurethral resection of the bladder tumor (TURBT), 1 underwent extended partial cystal resection and 2 underwent total cystectomy plus ileal orthotopic neobladder. Seventeen patients were followed up for 6-107 months, with an average of 43 months. Three patients relapsed and one patient died. CONCLUSIONS: Urinary tract epithelial carcinoma in young people under 30 years of age has the characteristics of good differentiation, early stage, low recurrence rate and good prognosis. Transurethral resection and postoperative follow-up can achieve good therapeutic effect and prognosis.