膀胱鳞状细胞癌的诊治分析（附19例报道）

The diagnosis,treatment and clinical feature of the bladder squamous cell carcinoma：a report of 19 cases

目的总结膀胱鳞状细胞癌（SCC）的诊治方法，以期提高对该病的认识及诊治水平。方法回顾分析19例SCC患者的临床与随访资料，根治性膀胱全切术10例，膀胱部分切除4例，膀胱经尿道膀胱电切5例。结果病理报告均为SCC，病理分级：G，5例，G，7例，G3 7例；分期：T1期3例，T2期7例，T3期8例，T4期1例。4例术后12个月内复发，患者生存时间6～81个月，平均生存时间28．9个月。结论SCC在诊断时多数临床分期和病理分级较高，预后则较差；临床分期与病理分级低并行根治性膀胱全切的患者预后相对较好。

Objective To investigate the diagnosis,treatment and prognosis of bladder squamous cell carcinoma（SCC） and improve the capability and recognition of diagnosing and treating for SCC. Meth- ods The clinical and follow-up data of 19 cases of SCC were analyzed retrospectively. Ten of the 19 pa- tients underwent radical cystectomy,4 patients underwent partial cystectomy and 5 patients received tran- surethral resection of bladder tumor（TURBT）. Results Pathological findings confirmed the diagnosis of SCC in all cases. The pathologic grade was GI in 5 cases, G2 in 7 and G3 in 7 ; the clinical stage was T1 in 3 cases,T2 in 7 ,rib in 8 and T4 in 1. Four patients had recurrences within 12 months after operation. The survival time of all patients was 6 to 81 months; the mean survival time was 28.9 months. Conclusion The majority of SCC patients have high clinical stage and pathologic grade at the time of diagnosis,and the prognosis is poor. Patients with lower clinical stage and pathologic grade have better prognosis after rad- ical cystcctomy.