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泌尿生殖系平滑肌肿瘤25例临床分析 |
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陈春光 梁建刚 蔡伟忠
摘 要:目的:探讨泌尿生殖系平滑肌肿瘤的临床表现及诊治方案。方法:对1980年以来收治的泌尿生殖系平滑肌肿瘤25例进行分析,其中平滑肌瘤21例,平滑肌肉瘤4例,分别位于肾、输尿管、膀胱、前列腺、尿道、精索及附睾。21例平滑肌瘤均行肿瘤切除术,4例平滑肌肉瘤,3例行肿瘤切除术,1例行活检术。结果:随访2~8年,平滑肌瘤术后未发现复发,4例平滑肌肉瘤中,3例术后生存1.4~3.2年后死亡,1例术后4年仍无瘤生存。结论:平滑肌肿瘤缺少特征性临床表现,术前确诊困难,良性与恶性的鉴别主要依据病理检查结果而定,对术前未能确诊的病例,术中应行冷冻切片病理检查,以便采取适当的手术方案。 关键词:泌尿生殖系 平滑肌瘤 平滑肌肉瘤 肿瘤切除术
Smooth muscle tumor of the urogenital system(Analysis of 25 cases)
CHEN Chun-guang CAI Wei-zhong (Department of Urology, Union Hospital, Fujian Medical University, Fuzhou, 350001) LIANG Jian-gang (Department of Pathology, Union Hospital, Fujian Medical University)
Abstract:Purpose:To study the clinical features of male urogenital smooth muscle tumor.Methods: Twenty-five cases admitted from 1980 to 1997 were reviewed.Results: There were 21 cases with leiomyoma and 4 with leiomyosarcoma, distributing in kidney, ureter, bladder, prostate, spermatic cord and epididymis. All 21 cases of leiomyoma were cured by excision without recurrence. Three cases of leiomyosarcoma died of recurrence, only one survived 4 years after operation. Conclusions: Owing to lack of characteristic clinical manifestation, it is difficult to make an accurate diagnosis preoperatively. In order to avoid unnecessory extensive excision, it is helpful to make a preoperative biopsy or frozen section examination during operation. Key words:Urinary system Leiomyoma Leiomyosarcoma Resection of tumor▲
泌尿生殖系各个部位都可能发生平滑肌肿瘤,但除子宫外,其他部位发生率均很低。我院自1980年以来共收治泌尿生殖系平滑肌肿瘤25例,现报告如下,并结合有关文献就其临床表现、病理检查、治疗及预后等进行讨论。
1 资料与方法
1.1 临床资料 本组25例,男18例,女7例,年龄1.5~69.0岁,平均31.8岁。其中平滑肌瘤21例,位于肾脏1例,膀胱3例,前列腺1例,尿道5例,精索2例,附睾9例,瘤体直径1.6~8.5 cm;平滑肌肉瘤4例,位于输尿管1例,膀胱1例,前列腺1例,精索1例。 1.2 手术方式 21例平滑肌瘤均行肿瘤切除术,4例平滑肌肉瘤中,3例行肿瘤切除术,1例作活检术。全组25例均经病理检查证实。
2 结果
术后随访2~8年,平滑肌瘤未发现复发;4例平滑肌肉瘤中,3例术后生存1.4~3.2年后死亡,1例术后生存4年余,现仍无瘤生存。
3 讨论
平滑肌肿[1] [2] 下一页 上一个医学论文: 原发性输尿管恶性肿瘤的诊断与治疗 下一个医学论文: 泌尿系肿瘤患者围手术期红细胞免疫功能的动态研究
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