小儿泌尿生殖系横纹肌肉瘤（附39例分析）

Urogenital rhahdomyosarcoma in children:analysis of39 cases

１９６７年至１９９２年作者医院共收治３９例泌尿生殖系横纹肌肉瘤。３９例中男３０例，女９例。年龄４个月至１４岁不等，其中３２例（８２．０％）小于５岁。肿瘤位于膀胱或前列腺２６例，睾旁９例，阴道３例，阴茎１例。在经治疗的３１例中，２４例获得随访。迄今仍存活的１６例中，１３例已无瘤存活４年以上，年龄最大的２例目前均已２０余岁。另８例临床仅做活体检查。作者认为肿瘤切除后予以规律化疗是进一步提高疗效的关键。

AbstractFrom 1967 to 1992,39 patients with urogenitalrhabdomyosarcoma were admited to our hospital. Ofthem 30 were male and 8 female and their age rangedfrom 4 months, to 14 years(32 were less than 5 years).Primary tumor was located in bladder or/and prostatein 26, paratesticule 9, vagina 3, and penis 1. Amongthe 31 patients receiving treatement, 23 were followedup. There were 15(65%)survivors, including 13 whowere free from tumor for over 4 years. The eldest twopatients were 20 and 21 years of age. Two patientswith vaginal tumor and 4 with bladder tumor preservedtheir organs with normal function. Biopsy were doneonly in 8 patients. In recent years, conservativesurgery combined with chemotherapy for urogenitalrhabdomyosarcoma has been justified.