膀胱鳞状细胞癌的诊治体会

The diagnosis and treatment experience in squamous cell carcinoma of bladder

目的：探讨膀胱鳞状细胞癌的诊治。方法：对1989年9月至2011年9月收治的11例膀胱鳞状细胞癌的临床表现、诊断方法、治疗和预后资料进行回顾性分析。结果：11例膀胱鳞状细胞癌中2例未手术治疗,存活4~6个月。另有4例行膀胱部分切除术,5例行根治性膀胱切除术;其中1例术后38个月正在随访中,1例存活10年,2例术后5个月内病死,4例术后11~13个月病死,1例术后22个月病死。结论：膀胱鳞状细胞癌是一种高度恶性肿瘤,预后差。早期诊断、早期行根治性膀胱切除术可取得较好的疗效。

Objective： To explore the diagnosis and treatment in squamous cell carcinoma（ SCC） of bladder. Methods： The manifestations,diagnostic method,treatment and prognosis of 11 patients with bladder SCC were retrospectively analyzed from Sep. 1989to Sep. 2011. Results： Within 11 cases with bladder SCC,the survival time of 2 cases without surgery was 4 to 6 months,4 cases were treated with partial cystectomy,and 5 cases were treated with radical cystectomy. One case living within the following-up for 38 months,1 case death at postoperative 10 years,2 cases death within postoperative 5 months,4 cases death within postoperative 11 to 13 months and 1 case death at postoperative 22 months were found. Conclusions： The bladder SCC is a sort of serious malignant neoplasm and its prognosis is poor,the early diagnosis and radical cystectomy of which can obtain better therapeutic effects.