膀胱腺癌28例报告

Adenocarinoma of Urinary Bladder

1978年2月至1997年10月收治膀胱腺癌28例，其中原发性膀胱腺癌23例，脐尿管腺癌5例。文中分析了本病临床表现、膀胱镜检查及膀胱造影等特点，结合文献讨论组织起源、早期诊断及治疗原则。治疗上主张广泛膀胱部分切除术或全膀胱切除术，联合放疗、化疗及免疫治疗，可望提高5年生存率。

28 cases of adenocareinoma of bladder wre treated from 1978 to 1997. On pathological studies,23 were primary adenocarcinoma, while the other 5 were of urachus origin. The clinical, cysthecopic and cystographic manifestations of the disease were presented. The aetiology of the tumour, eary diagnsis and therapeuhc principl were analysed and discussed. Extensive partial cystectomy of radical total cystectomy was advocated with postoperative radio and chemo - therapy. The 5 year - survival rate of this series has been 23. 1%.