CAJ | 학술논문

目的探讨脐尿管癌的临床诊断及治疗方法.方法回顾性分析北京友谊医院泌尿外科及北京市房山区第一医院泌尿外科1990-2011年收治的13例脐尿管癌患者的临床资料,并结合文献讨论其临床诊断与治疗方法.结果 13例患者中12例出现无痛性肉眼血尿,B超及CT均提示膀胱顶壁或前壁外囊性或囊实性肿物.9例患者行扩大性膀胱部分切除术,3例行膀胱全切术；3例术后行化疗,1例单纯行化疗.随访2个月～11年,9例单纯行手术治疗的患者中,6例2年内死于肿瘤复发转移,1例术后30个月死于肿瘤复发并远处转移,2例术后分别随访至今3年及6年肿瘤无复发；3例行手术加化疗患者中1例术后,1年复发转移死亡,2例术后分别随访至今4年及6年肿瘤无复发；1例单纯化疗患者2个月后死于肿瘤进展.结论脐尿管癌首发症状多为无痛性肉眼血尿,手术方法以扩大性膀胱部分切除为主,术后应积极辅助化疗.
목적 탐토제뇨관암적림상진단급치료방법.방법 회고성분석북경우의의원비뇨외과급북경시방산구제일의원비뇨외과1990-2011년수치적13례제뇨관암환자적림상자료,병결합문헌토론기림상진단여치료방법.결과 13례환자중12례출현무통성육안혈뇨,B초급CT균제시방광정벽혹전벽외낭성혹낭실성종물.9례환자행확대성방광부분절제술,3례행방광전절술；3례술후행화료,1례단순행화료.수방2개월～11년,9례단순행수술치료적환자중,6례2년내사우종류복발전이,1례술후30개월사우종류복발병원처전이,2례술후분별수방지금3년급6년종류무복발；3례행수술가화료환자중1례술후,1년복발전이사망,2례술후분별수방지금4년급6년종류무복발；1례단순화료환자2개월후사우종류진전.결론 제뇨관암수발증상다위무통성육안혈뇨,수술방법이확대성방광부분절제위주,술후응적겁보조화료.
Objective To summarize the author' s clinical experiences in the diagnosis and treatment of urachal carcinoma.Methods Thirteen cases with urachal carcinoma from 1990-2011 at Beijing Friendship Hospital affiliated to Capital Medical University were retrospectively reviewed and analyzed.Results The most common complaint was hematuria;B ultrasonic or CT scan demonstrated a parenchyma or vesica between the bladder dome and abdominal wall.Nine patients underwent extensive pattical excision of the bladder,3 paitents underwent radical resection,and 4 patients received comprihensive chemotherapy.The five-year survival rate was 30.7％.Conclusion Extensive partial excision of the bladder is recommended for urachal carcinoma.