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本文报告女性原发性尿道癌8例,年龄在41-63岁,平均年龄(?)3岁,与文献报告的基本一致。前尿道癌7例,后尿道癌1例。腺癌5例,鳞癌2例,移行细胞癌1例。行单纯放疗3例,其中2例分别生存18、11个月,1例失访;肿瘤加部份尿道切除,术后放疗1例,现已15个月健在;全尿道切除加膀胱壁瓣尿道重建术3例,均获满意近期疗效;1例未治。笔者认为,本病以手术治疗为主,全尿道切除加膀胱壁瓣尿道重建术是目前最理想的治疗方法。
This article reports 8 cases of female primary urethral cancer, aged 41-63 years, mean age (?) 3 years old, and the literature reported basically the same. 7 cases of anterior urethral cancer and 1 case of posterior urethral cancer. Adenocarcinoma in 5 cases, squamous cell carcinoma in 2 cases and transitional cell carcinoma in 1 case. Three patients were treated with radiotherapy alone. Two of them survived for 18 and 11 months, respectively, and one patient lost follow-up. Tumor plus partial urethral catheterization and postoperative radiotherapy were performed in 15 patients and were alive at 15 months. Total urethral resection plus urinary bladder flap Reconstruction in 3 cases, were satisfied with the recent curative effect; 1 case not cured. The author believes that the disease mainly to surgical treatment of total urethral resection plus bladder flap urethral reconstruction is the best treatment.