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膀胱癌 29例에 對한 臨床的 觀察

Clinical Observation on the Bladder Tumor

전남의대잡지 1969년 6권 1호 p.57 ~ 60
임병승,
소속 상세정보
임병승 (  ) - 전남대학교 의과대학 비뇨기과학교실

Abstract


Since the Department of Urology was established in this,Chonnam National University Hospital from March of 1967 up to March 1969, 25 cases of bladder tumors were observed, while before that period 4 cases could be found in the -file of both out and inpatient records. Among these 29 cases 24 were hospitalized, while in other 5 cases diagnosis was confirmed by cystoscopy and biopsy at the out patient clinic. Clinical observation on those 29 cases of bladder tumors gave the following results.
1. Among the 29 cases, 25 cases were male and 4 cases female with ratio of 6.2:1.
2. Age range was from 14months to 80 years old and peak incidence was between 40 and 79 years of age, consisting 76.0% of total.
3. Most frequent initial disturbance wa hematuria, which occurred in 22 cases, while the other common manifestations were dysuria, frequency and urinary retention in order.
4. Interval elapsed from initial symptoms to visit was within one year in 20 cases (69%).
5. Site of involvement in the bladder was 3.45% in the lateral wall, 24.2% in the posterior wall, 20.5% in the trigone and 17.4% in the entire wail.
6. Of 29 cases, surgery was performed in 17 cases, electrocoagulation through suprapubic cystotomy in 10, partial resection of the bladder and total cystectomy in 3 respectively, TUR and cutaneous ureterostomy in one each.
7. Pathologic diagnosis was: transitional cell carcinoma in 25, metastatic carcinoma, rhabdomyosarcoma, adenocarcinoma and squamous cell carcinoma in one case respectively.
8. Follow-up studies were possible in 7 of 17 cases one or more times for 3 months to 3 years. At the first follow-up study 3 were free of tumor and 4 exhibited recurrence.


Follow-up .studies were possible in 7 of 17 cases one or more times for months to 3 V cars. At the first follow=up . tudy 3 were free of tumor
6.2:1.
Age range was from 14 months to 80 years old and peak incidence was between 40 and 79 years of age, consisting 76.0% of total. Most frequent initial disturbance was hematuria. which occurred in 22
cases, while the other common manifestations were dysuria, frequency and urinary retention in order.
o visit was within one year i

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