男性膀胱癌根治术后尿道癌的诊治
摘要
目的探讨膀胱癌根治术后尿道癌的发生及诊断、治疗。方法回顾性分析96例行保留尿道的全膀胱切除术患者的临床资料及术后随访情况。结果 1例随访期间出现尿道血性分泌物,行尿道分泌物涂片、尿道镜检查及盆腔CT诊断为尿道癌,予尿道全切术,术后12个月出现转移。膀胱癌根治术后尿道癌的发生率1.04%。结论膀胱癌术后尿道癌发生率不高,术后密切随访可早期发现尿道癌,尿道细胞学及尿道镜组织病理检查可确诊;尿道全切术是主要手术处理手段。
出处
《中华临床医师杂志(电子版)》
CAS
2015年第8期153-155,共3页
Chinese Journal of Clinicians(Electronic Edition)
参考文献15
-
1Vrooman OP,Witjes JA.Follow-up of patients after curative bladder cancer treatment:guidelines vs.practice[J].Curr Opin Urol,2010,20(5):437-442.
-
2Beahrs JR,Fleming TR,Zincke H.Risk of local urethral recurrence after radical cystectomy for bladder cancer[J].J Urol,1984,131(2):264-266.
-
3Tongaonkar HB,Dalal AV,Kulkarni JN,et al.Urethral recurrences following radical cystectomy for invasive transitional cell carcinoma of the bladder[J].Br J Urol,1993,72(6):910-914.
-
4Sevin G,Soyupek S,Armaan A,et al.What is the ratio of urethral recurrence risk after radical cystoprostatectomy for bladder cancer?[J].Int Urol Nephrol,2004,36(4):523-527.
-
5Huguet J.Diagnosis and Treatment of Urethral Recurrence After Radical Cystectomy in the Male[J].Actas Urol Esp,2012,36(1):42-47.
-
6Martins FE,Bennett CJ,Skinner DG.Options in replacement cystoplasty following radical cystectomy:high hopes or successful reality[J].J Urol,1995,153(5):1363-1372.
-
7Freeman JA,Tarter TA,Esrig D,et al.Urethral recurrence in patients with orthotopic ileal neobladders[J].J Urol,1996,156(5):1615-1619.
-
8Stein JP,Clark P,Miranda G,et al.Urethral tumor recurrence following cystectomy and urinary diversion:clinical and pathological characteristics in 768 male patients[J].J Urol,2005,173(4):1163-1168.
-
9Huguet J,Monllau V,SabatéS,et al.Diagnosis,risk factors,and outcome of urethral recurrences following radical cystectomy for bladder cancer in 729 male patients[J].Eur Urol,2008,53(4):785-792.
-
10Arce J,Gaya JM,Huguet J,et al.Can we identify those patients who will benefit from prostate-sparing surgery?Predictive factors for invasive prostatic involvement by transitional cell carcinoma[J].Can J Urol,2011,18(1):5529-5536.
二级参考文献17
-
1Beahrs JR,Fleming TR,Zincke H.Risk of local urethral recurrence after radical cystectomy for bladder cancer.J Urol,1984,131 (2) :264- 266.
-
2Lopez - Almansa M,Molina R,Huben P.Transitional cell carcinoma of the urethra in men after radical cystectomy for bladder cancer.Is prophylactic urethrectomy indicated? Brit J Urol,1988,61 (6) :507-509.
-
3Lebret T,Herve JM,Barre P,et al.Urethral recurrence of transitional cell carcinoma of the bladder.Predictive value of preoperative lateromontanal biopsies and urethral frozen sections during prostatocystectomy.Eur Urol,1998,33(2) :170 - 174.
-
4Stens LA,Holtl L.Orthotopic bladder reconstruction in women - whaat we have learned over the last decade.Crit Rev Oncol Hematol,2003,47(2) :147 -154.
-
5Ali - el - Dein B,Abdel - Latif M,Ashamallah A,et al.Local urethral recurrence after radical cystoctomy and orthotopic bladder substitution in women:a prospective study.J Urol,2004,171 (1) :275 - 278.
-
6Yamashita S,Hoshi S,Ohyama C,et al.Urethral recurrence following neobladder in bladder cancer patients.Tohoku J Exp Med,2003,199(4) :197 -203.
-
7Clark PE,Stein JP,Groshen SG,et al.The management of urethral transitional cell carcinoma after radical cystectomy for invasive bladder cancer.J Urol,2004,172(4) :1342 - 1347.
-
8Varol C,Thalmann GN,Burkhard FC,et al.Treatment of urethral recurrence following radical cystectomy and ileal bladder substitution.J Urol,2004,172 (3) :934 -942.
-
9Tobisu KI,Tanaka Y,Misutani T,et al.Transtional cell carcinoma of the urethra in men following cystectomy for bladder cancer:multivariate analysis for risk factors.J Urol,1991,146(6) :1551 - 1554.
-
10Freeman JA,Tarter TA,Esrig D,et al.Urethral recurrence in patients with orthotopic ileal neobladders.J Urol,1996,156 (5):16115 -1619.
共引文献6
-
1冯贺军.1例老年男性尿道中分化鳞癌患者的护理体会[J].医学信息(医学与计算机应用),2014,0(19):630-630.
-
2周启筑,李皓.经尿道膀胱肿瘤电切术治疗高龄膀胱肿瘤[J].中国肿瘤临床,2006,33(15):891-893. 被引量:4
-
3张墨,费翔,卜仁戈,许学文,张辉,宋永胜.应用TUR术治疗膀胱癌膀胱全切术后复发性尿道癌[J].现代肿瘤医学,2013,21(10):2266-2268. 被引量:3
-
4陈雪莲,黄细汉,湛海伦,周祥福,杨飞,李腾成.男性膀胱癌根治术后尿道癌的诊治分析[J].广东医学院学报,2014,32(6):796-798. 被引量:1
-
5王定勇,邓金华,辛宇鹏,郭霖森,王魏龙,田峰,赵修民,李华.保留前列腺段尿道的腹腔镜膀胱癌根治-原位回肠膀胱术的临床探讨[J].腹腔镜外科杂志,2015,20(11):808-811. 被引量:2
-
6沈寅洲,李容柄,仇广明.膀胱癌膀胱全切术后继发尿道癌的原因、诊治及预防观察[J].癌症进展,2020,18(6):625-627. 被引量:1
-
1陈雪莲,黄细汉,湛海伦,周祥福,杨飞,李腾成.男性膀胱癌根治术后尿道癌的诊治分析[J].广东医学院学报,2014,32(6):796-798. 被引量:1
-
2刘鸿君,王佳丽.尿道癌的诊断及治疗(附二例报告)[J].河南肿瘤学杂志,1998,11(4):309-310.
-
3齐桓,郑少斌,谭万龙.膀胱癌根治术后继发尿道癌6例[J].中国肿瘤临床,2004,31(6):353-353.
-
4周克斌,虎威.膀胱癌膀胱全切术后尿道癌5例报告[J].陕西医学杂志,2000,29(9).
-
5袁和兴,侯建全,浦金贤,严春寅,温端改,郭震华.膀胱全切术后尿道癌11例分析[J].江苏医药,2003,29(12):945-945.
-
6杜跃军,谭万龙,郑少斌,姜耀东,张鹏,吴芃.膀胱癌膀胱全切术后继发性尿道癌5例报告[J].临床泌尿外科杂志,2004,19(9):568-569. 被引量:3
-
7王睿,徐鸿儒,项举乐,詹翔.保留膀胱手术治疗女性晚期原发性尿道癌的探讨[J].肿瘤研究与临床,2000,12(2):118-119.
-
8茅培新,乙恩波,聂卫星,栾志敏.膀胱移行上皮细胞癌行膀胱根治术后发生尿道癌10例分析[J].临床泌尿外科杂志,1993,8(3):147-148.
-
9高芳,苏宁.癌性腹水的辨治[J].中国中医急症,2011,20(12):1952-1952. 被引量:12
-
10吴伟.胃间质瘤的外科治疗(附40例报告)[J].实用临床医药杂志,2008,12(4):71-73. 被引量:8