群馬大学医学部附属病院泌尿器科のぼうこう癌臨床統計　　１９８２年‐１９９６年の１５年間，３１４例の検討

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  • Clinical Statistics of Bladder Cancer in the Department of Urology at Gunma University Hospital: Study of 314 Patients During the 15 Year Period from January 1982 to December 1996.
  • STUDY OF 314 PATIENTS DURING THE 15 YEAR PERIOD FROM JANUARY 1982 TO DECEMBER 1996
  • 1982年-1996年の15年間, 314例の検討

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A clinical investigation of bladder cancer was conducted in the Department of Urology at Gunma University Hospital, from January 1982 through December 1996. The patients studied were 229 males and 85 females (ratio, 2.7 : 1) with bladder cancer. They ranged in age from 17 to 97 years old with an average age of 68.2 years.<BR>The 5 year survival rate was 94.8% for superficial bladder cancer, and 48.2% for invasive bladder cancer. In the multivariative analysis of the tumor shape, base configuration, size, number of tumors, pathological grade, and clinical stage, papillary involvement, a peduncle, less than 1 cm diameter in size, grade 1, and pTa were the significant dominant factors for patient survival.<BR>An ileal conduit was performed and was followed by radical cystectomy as standard urinary diversion, however, other methods, such as a continent reservoir or orthotopic bladder replacement (neobladder) are now being employed.<BR>The development of treatment for invasive bladder cancer should consider the patient's quality of life.

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