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对174例膀胱移行上皮癌患者施行根治性膀胱前列腺切除术治疗其中有的加用有的没有加用放射治疗,随诊至少五年或直到患者死亡为止。在治疗后的生存情况与治疗时的癌肿的级和期均有关系。在本组中辅助的放射治疗对有广泛的膀胱壁浸润和有膀胱外扩散的癌肿病人的生存有所提高。效果最好的是肿瘤低级病理期的患者(即浅层的肿瘤),可以预料的,肿瘤细胞分化不良在膀胱壁浸润深的患者疗效最差。
Radical bladder prostatectomy was performed on 174 patients with bladder transitional epithelial carcinoma. None of them used radiotherapy, followed up for at least five years or until the death of the patient. The survival condition after treatment is related to the grade and stage of cancer at the time of treatment. In this group, adjuvant radiotherapy improved the survival of patients with extensive bladder wall infiltration and extra-bladder cancer. The best results are in patients with low-grade pathological tumors (ie, superficial tumors). It can be expected that poorly differentiated tumor cells have the worst effect in patients with deep infiltration of the bladder wall.