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  ureteral
Diagnosis and treatment of primary ureteral carcinoma-A report of 15 cases
      
Fifteen cases with primary ureteral carcinomas are reported with a review of the literature.
      
The diagnosis and differential diagnosis of ureteral fibroepithelial polyps
      
OBJECTIVE To study the clinical pathologic characteristics and differential diagnosis of ureteral fibroepithelial polyps.
      
These risks include significant blood loss, rectal injury, ureteral injury, thromboembolic events, urinary incontinence, impotence, and a perioperative death rate of less than 1%.
      
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From 1973 to 1985,441 patients with cervical carcinoma underwent radical hysterectomy treatment in our department. Among them the incision extent of 84 patients was measured during oper ation,42 cases being stage Ⅰ_ b,36 cases stage Ⅱ_a,and 6 cases stage Ⅱ_b. The excision extent of cardinal ligaments was 8~14cm~2, utero-sacral ligaments 12~19cm~2, paravaginal 2.5~5.9cm~2 and the vaginal 2~3.5cm. The five-year and ten-year survival rates of these patients were higher than those of the patients with large incision...

From 1973 to 1985,441 patients with cervical carcinoma underwent radical hysterectomy treatment in our department. Among them the incision extent of 84 patients was measured during oper ation,42 cases being stage Ⅰ_ b,36 cases stage Ⅱ_a,and 6 cases stage Ⅱ_b. The excision extent of cardinal ligaments was 8~14cm~2, utero-sacral ligaments 12~19cm~2, paravaginal 2.5~5.9cm~2 and the vaginal 2~3.5cm. The five-year and ten-year survival rates of these patients were higher than those of the patients with large incision extent,that is to say,enlarging the operation extent not only increased the survival rate, but also decreased it slightly. However,it was no statistical significance(P>0.05) as compared with the small incision extent. After operation, 100% of the patients were followed up. The five-year survival rate was 94.05%. Among them stage Ⅰ_b, Ⅱ_a, Ⅱ_b, being respectively 95.24%,94.44% and 5/6. The incidence of urine ratention after operation was 11.91%(10/54), ureteral fistula 2.38%. In this paper,the proper operation extent,the reduced postoperation complication, the surgical factors increasing the curative effect on the patients with lymph nodes metastasis,and the problem of the operation on the patients of stage Ⅱ_b are discussed.

我院1973~1985年作宫颈癌根治术441例,其中84例术时进行切除范围的测量。Ⅰ_b期42例,Ⅱ_a期36例,Ⅱ_b期6例。切除主韧带8~14cm~2,宫骶韧带12~19cm~2,阴道旁2.5~5.9cm~2,阴道2~3.5cm。5年、10年存活率较多切除者高,即切除范围扩大存活率未见增加而略有降低。但经统计学检验差异无显著性(P均>0.05)。提示上述切除范围对Ⅰ_b期、Ⅱ_a期是合适的。本组随访率100.0%。5年存活率94.05%,其中Ⅰ_b期95.24%,Ⅱ_a期94.44%,Ⅱ_b期5/6。术后尿潴留占11.91%(10/84),输尿管阴道瘘占2.38%(2/84)。本文对手术合适的切除范围、降低术后并发症、提高对淋巴结转移的疗效及Ⅱ~b期手术问题进行了讨论。

cases of urothelial tumor were treated from 1975 to 1992 of which 34 were pelvic, 19 ureteral, 351 vesical and 9 urethral (pelvic: ureteral: vesical: urethral= 3. 78: 2. 11: 39: 1). Multi-organ involvement has been observed in 22. The incidence of such an occurrence was 38. 23 % ( 13/34) in pelvic, 73. 68% ( 14/19) in ureteral , 4. 56% (16/351) in vesical and 44. 4% (4/9) in urethral tumor. The cause of multi-organ involvement in urothelial tumors was discussed.

1975~1992年底在本院手术治疗病理证实的尿路上皮癌413例(肾盂移行上皮癌34例;输尿管移行上皮癌19例;胱移行上皮癌351例;尿道移行上皮癌9例)。如果以尿道肿瘤为1,各部位发生尿路上皮肿瘤机会之比为:肾盂:输尿管:膀胱:尿道=3.78:2.11:39:1。其中22例属尿路上皮多器官癌。各部位发生多器官肿瘤的机会:肾盂13/34(38.23%),输尿管14/19(73.68%),膀胱16/351(4.56%),尿道4/9(44.44%)。非同时发生的肿瘤间期5~62个月。其中一例尿路上皮癌者三年前患结肠癌。

cases of renal pelvic and ureteral cancer were admitted and treated from Jan. 1978 to Dec. 1992. Among them, recurrence of urinary tract epithelial cancer occurred in 26.The postoperative recurrence rate with renoureteral recection and sleeve shape resection of vesical (30.1%) was lower than that of total renoureteral resection (54.5%) and renal resection alone (75.0%).In the latter 2 groups, the occurrence of vesical cancer at the involved-side was higher. In cases of simultaneous multiple cancer, lower...

cases of renal pelvic and ureteral cancer were admitted and treated from Jan. 1978 to Dec. 1992. Among them, recurrence of urinary tract epithelial cancer occurred in 26.The postoperative recurrence rate with renoureteral recection and sleeve shape resection of vesical (30.1%) was lower than that of total renoureteral resection (54.5%) and renal resection alone (75.0%).In the latter 2 groups, the occurrence of vesical cancer at the involved-side was higher. In cases of simultaneous multiple cancer, lower grade and lower stage cancers the recurrence rate was higher and usually occurred within 3 years. There was no difference of 5 year survival ratet (P<0.05) between recurrent and non-recurrent cases. The cause and prevention of recurrence and its early detection were discussed.

1978年1月~1992年12月收治肾盂输尿管癌85例,术后再发尿路上皮癌26例。肾输尿管膀胱袖状切除术后再发率(30.1%)低于肾输尿管全切除术(54.5%)和肾切除术(75%)。病侧管口处膀胱癌再发率高。同时发生多部位癌、低级低期者术后再发率高,再发时间多在术后3年以内。术后再发与非再发者5年生存率无显著性差异(P>0.01)。对其再发因素早期发现与预后进行讨论。

 
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