| 吴慧玲,戴国平,杜小文.T1G3膀胱癌二次电切治疗体会[J].肿瘤学杂志,2012,18(8):569-571. |
| T1G3膀胱癌二次电切治疗体会 |
| Repeat Transurethral Resection for Bladder Cancer T1G3 |
| 投稿时间：2012-05-04 |
| DOI： |
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| 中文关键词: 膀胱肿瘤 尿道 电切术 |
| 英文关键词:bladder neoplasms urethra electroresection |
| 基金项目:金华市应用技术研究与开发资金补助项目（2011-3-043） |
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| 中文摘要: |
| 摘 要：［目的］ 探讨T1G3膀胱癌行第二次经尿道电切术(ReTUR)的必要性。［方法］ 回顾性分析37例经尿道膀胱肿瘤电切术(TURBt)明确为T1G3膀胱癌患者资料。单发乳头状肿瘤15例，多发乳头状肿瘤17例，广基型肿瘤5例。4～6周后再次电切，术后常规丝裂霉素膀胱内灌注化疗。［结果］所有肿瘤切除标本均含有肌层组织。二次电切中13例(13/37，35.1％)发现有残余肿瘤，2例（2/37，5.4%）发现肿瘤为T2期，更改治疗方案。1例（1/15，6.7%）单发乳头状肿瘤，8例（8/17，47.1%）多发乳头状肿瘤，4例（4/5，80.0%）广基型肿瘤发现癌细胞残留。［结论］ 不同的T1G3患者在二次电切中结果不尽相同。对多发乳头状和广基型的肿瘤应常规行二次电切，而对单发乳头状肿瘤可酌情考虑。 |
| 英文摘要: |
| Abstract:［Purpose］ To investigate the necessity of repeat transurethral resection (ReTUR) for patients with bladder cancer T1G3.［Methods］ Thirty-seven patients with bladder cancer T1G3 after transurethral resection of bladder tumor (TURBt) were analyzed retrospectively. The primary bladder cancers were classified as solitary papillary tumor(15 cases), multiple papillary tumor(17 cases) and sessile lesions(5 cases).All cases underwent ReTUR following primary surgery within 4~6 weeks and postoperative mitomycin infusion chemotherapy. ［Results］All the resected tumor specimens contained muscular layer tissues. Residual tumors were found in 13 cases (13/37,35.1%) at the ReTUR，and 2 cases(2/37,5.4%) were diagnosed as stage T2 and adjusted the treatment plan. One case(1/15,6.7%）with solitary papillary,8 cases(8/17,47.1%）with multiple papillary and 4 cases（4/5,80.0%） with sessile lesions had residual cancer cells, respectively. ［Conclusions］ Different T1G3 bladder cancer patients have different outcomes after ReTUR. For patients with multiple papillary and sessile T1G3 lesions, routinely performed ReTUR are necessary. While ReTUR is necessary or not for the patients with solitary papillary T1G3 tumors should be considered accordingly. |
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