膀胱腫瘍再発時における悪性度の変化および予後 ; Changes in grading at bladder tumor recurrence

التفاصيل البيبلوغرافية
العنوان: 膀胱腫瘍再発時における悪性度の変化および予後 ; Changes in grading at bladder tumor recurrence
المؤلفون: 内田, 豊昭, 小林, 健一, 荒川, 孝, 小俣, 二也, 遠藤, 忠雄, 石橋, 晃, 小柴, 健
المساهمون: UCHIDA, Toyoaki, KOBAYASHI, Kenichi, ARAKAWA, Takashi, OMATA, Tsuguya, ENDO, Tadao, ISHIBASHI, Akira, KOSHIBA, Ken
بيانات النشر: 泌尿器科紀要刊行会
سنة النشر: 1984
المجموعة: Kyoto University Research Information Repository (KURENAI) / 京都大学学術情報リポジトリ
مصطلحات موضوعية: Bladder tumor, Recurrence, Grade, 494.9
الوصف: 1)膀胱腫瘍にてTUR-Btを施行した197例中72例に再発を認めた.2)再発例72例の悪性度についてみると, 悪性度の変化しなかったもの34例(47.2%), (再発経過中一度も悪性度の変化しなかった例28例, 再発経過中変化したが, 初回時および最近のTUR-Btにて変化した例6例), 増悪したもの16例(22.2%), 軽減したもの22例(30.6%)であった.3)悪性度の変化した44例を3群にわけ検討した.再発途中悪性度は変化したが, 初回TUR-Bt時と最近のTUR-Bt時に変化のなかった例あるいは悪性度の低下した例25例, 増悪例9例, 癌死例10例であった.4)第3群(癌死例)についてみると, 再発経過中grade 4に変化した例が7例認められた ; Today, transurethral resection to superficial bladder tumors is an important method, although frequent recurrence is a problem. We examined whether the degree of progressiveness could be determined at the time of recurrence and therapeutic manner decided from only the grading. Forty four cases which had recurred over twice and in which grading was changed during recurrence were examined. Recurrence occurred twice in 19 cases, and 3 times in 13 cases. Two patients had the largest number of recurrences, i.e., seven. The patients were divided in 3 groups. The 1st group consisted of 25 cases not worsening in grade from initial and recent transurethral resection-bladder tumor (TUR-Bt). The 2nd group consisted of 9 cases who had progressing grading. The 3rd group consisted of 10 cases who died of carcinoma. In the first group, grading decreased in 17 cases. Eight cases in the 3rd group were grade 4. We found that recurrent cases of bladder tumor did not always progressive, grading, being rather decreased than progressing in group 1. However, most of the grade 4 cases died of carcinoma. In conclusion, recurrent TUR-Bt in low grade bladder tumor patients may not be progressive, but grade 4 cases at recurrence require radical operation.
نوع الوثيقة: report
وصف الملف: application/pdf
اللغة: Japanese
تدمد: 0018-1994
العلاقة: http://hdl.handle.net/2433/118360Test; AN00208315; 泌尿器科紀要; 30; 12; 1785; 1791; 6532206; Acta urologica Japonica; Hinyokika Kiyo
الإتاحة: http://hdl.handle.net/2433/118360Test
رقم الانضمام: edsbas.AC54459B
قاعدة البيانات: BASE