CAJ | 학술논문

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。
목적：탐토방광린상세포암적진치。방법：대1989년9월지2011년9월수치적11례방광린상세포암적림상표현、진단방법、치료화예후자료진행회고성분석。결과：11례방광린상세포암중2례미수술치료,존활4~6개월。령유4례행방광부분절제술,5례행근치성방광절제술；기중1례술후38개월정재수방중,1례존활10년,2례술후5개월내병사,4례술후11~13개월병사,1례술후22개월병사。결론：방광린상세포암시일충고도악성종류,예후차。조기진단、조기행근치성방광절제술가취득교호적료효。
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. 1989 to 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.