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报告原发性尿道癌17例,其中女性14例,男性3例,男女之比1:4.67;女性尿道癌发病年龄32~72岁,均龄56岁;鳞癌、腺癌各7例。男性尿道鳞癌3例,均龄52岁,其中2例为浸润癌。尿道癌恶性度高,淋巴转移早,治疗主张早期手术切除,结合放疗综合治疗。本组手术切除率58.2%(10/17),女性尿道癌手术切除者8例,2年生存率62.5%(5/8),5年生存率50%(4/8),男性尿道癌手术切除者2例,均已无瘤生存达4年以上。
Reported 17 cases of primary urinary tract cancer, including 14 cases of females and 3 cases of males. The ratio of male to female was 1:4.67; the age of onset of female urinary tract cancer was 32-72 years old, and the average age was 56 years; 7 cases of squamous cell carcinoma and 7 cases of adenocarcinoma respectively. . Male urethral squamous cell carcinoma in 3 cases, 52 years of age, including 2 cases of invasive cancer. Urinary tract cancer is highly malignant and lymphatic metastasis is early. The treatment advocates early surgical resection combined with radiotherapy comprehensive treatment. The surgical resection rate was 58.2% (10/17) in this group, 8 cases were surgical resection of female urethral cancer, the 2-year survival rate was 62.5% (5/8), and the 5-year survival rate was 50% (4/8). Two cases of male urethral cancer surgical resection have been tumor-free for more than 4 years.