摘要
目的 :探讨膀胱小细胞癌 (SCC)的诊断和治疗。方法 :对 4例膀胱SCC的病理及临床资料进行回顾性分析。结果 :男 3例 ,女 1例 ,平均 6 6 .5岁。分期 :T4 N0 M0 1例 ,T4 N1M0 2例 ,T4 N4 M11例。根治性膀胱切除术加放疗 2例 ,膀胱部分切除术 1例 ,肿瘤无法切除而行右输尿管皮肤造瘘术 1例。 2例死于肿瘤复发或转移 ,平均生存时间 6 .5个月 ,另 2例已分别生存 6个月和 3个月 ,仍在随访中。结论 :膀胱SCC预后极差 ,行根治性切除术加联合化疗或放疗可提高治愈率。
Purpose:To study the diagnosis,treatment and prognosis of bladder small cell carcinoma. Methods:Pathological and clinical data of 4 cases of bladder small cell carcinoma were retrospectively studied.Results: The bladder small cell carcinoma was diagnosed in 3 male patients and 1 female patient with a mean age of 66.5 years. The stages were T 4N 0M 0 (1 case), T 4N 1M 0(2 cases), T 4N 4M 1 (1 case). 2 patients received radical cystectomy followed by radiotherapy, 1 patient received partial cystectomy, and another received right ureterocutaneostomy. 2 patients died of the tumor recurrence or metastasis at an averge survival interval of 6.5 months, and other 2 patients were still alive 6 months and 3 months following the surgical treatment.Conclusions:The bladder small cell carcinoma had a very poor prognosis. Radical surgery combined with multidrug combination chemotherapy or radiotherapy appeared to be the best treatment of choice.
出处
《临床泌尿外科杂志》
2002年第7期325-326,共2页
Journal of Clinical Urology