177例尿路移行细胞癌的临床分析

Analysis of urothelial transitional cell carcinoma (Report of 177 cases)

目的 :探讨尿路移行细胞癌 (TCC)的发病特点及与预后的关系 ,提高尿路TCC的治愈率。方法 :分析 177例TCC患者的诊断措施、手术方法和术后处理资料。结果 :肾盂癌 17例 ,输尿管癌 8例 ,膀胱癌 15 2例。发现 14例为多中心性和异时性TCC ,其中下行性异时性膀胱癌 10例。结论 :TCC是尿路上皮肿瘤发病率最高的恶性肿瘤 ,异时性膀胱肿瘤的发生率明显高于上尿路肿瘤 ,发生肿瘤的异时性对患者预后有一定影响 。

Purpose:To analyze the epidemiographic features of urothelial transitional cell carcinoma(TCC) in a single center.Methods:A retrograde analysis was undertaken on 177 patients who were diagnosed as urothelial TCC. Results:One hundred and seventy seven patients included 17 cases of pelvic TCC,8 cases of ureter TCC,152 cases of bladder TCC. Fourteen cases were synchronous and metachronous TCC. Conclusions:The incidence of TCC is highest in urothelial transitional cell tumor. Metachronous urinary bladder TCC occurs more than metachronous upper tract TCC. Synchronous and metachronous malignancy plays an important role in patinent's prognosis. Postoperatively monitoring is very important in order to improve the patient's outcome.