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篇名
上泌尿道移形上皮癌:秀傳醫院十年經驗
並列篇名
Transitional Cell Carcinoma of Upper Urinary Tract: 10 Years Experience in Show Chwan Hospital
作者 林育慶林茂盛謝輝龍吳其翔林大鍾陳兆智
中文摘要
回溯性研究秀傳醫院處理上泌尿道移形上皮癌之十年經驗,結果發現,五十九位接受手術之病人中,遠端輸尿管端無論採用傳統開腹手術或經尿道電刀切除,兩組之間並無腫瘤治療預後上之差異性。另外,內視鏡手術之發展也進一步使得一部分無法接受傳統手術之病人的腎臟得以保留。更有趣的是,本院的資料顯示上泌尿道移形上皮癌之男女比例、占腎臟腫瘤之比例及腫瘤於輸尿管位置之比例,均與國外之文獻不同,反倒與烏腳病污染區之國內文獻數據相近。
英文摘要
To review the clinical outcomes of upper urinary TCC patients treated in our hospital during the past 10 years. Between 1995 and 2005, 102 patients were diagnosed as having upper urinary tract TCC in Show Chwan Memorial Hospital. The gender, age, place of residence, clinical signs and symptoms of all patients were recorded. 59 patients received surgical treatment, including nephroureterectomy with bladder cuff excision, antegrade or retrograde endoscopic ablation or segmental ureterectomy. Furthermore, detailed data regarding the gender ratio and clinical presentation of these patients were collected and analyzed.In our study, bladder cuff excision methods during nephroureterectomy included open surgery and the “pluck” technique (transurethral resection of bladder cuff). Differences between techniques in regard to complications and oncological outcome were not significant. 6 patients received the nephron-sparing approach. Advancements in endourology have made it possible to treat upper urinary TCC conservatively in selected patients. On the other hand, the male to female ratio was found to be 1:1.77, showing a female predominance in our study. The ratio of TCC of the renal pelvis to TCC of the ureter to TCC of the bladder was approximately 1:0.9:10. TCC of the renal pelvis accounted for 15% of all urothelial TCC, and for approximately 60% of all renal carcinoma. It is interesting to compare our clinical appearance to the up-to-date database. The clinical picture in our series completely differed from other literature.For management the distal ureter in nephrouretectomy, both open and pluck techniques proved oncologically safe. Nephron-sparing technique is now a feasible alterative to nephrouretectomy in selected patients. The gender incidence and ratio of renal pelvis TCC to all renal carcinomas are different in Mid-Taiwan with data presented in the up-to-date database. Further study for proving this point should be performed.
起訖頁 87-92
關鍵詞 泌尿道移形上皮癌男女比例烏腳病Transitional cell carcinomaGender ratioArsenic pollution
刊名 秀傳醫學雜誌  
期數 200610 (6:3-4期)
出版單位 秀傳紀念醫院
該期刊-上一篇 臺南市婦女骨質密度與危險因子之調查研究
該期刊-下一篇 是否加入糖尿病共同照護網個人認知與健康行為之探討
 

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