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华西医学  2010 

螺旋CT对原发性膀胱移行细胞癌分期的评价

, PP. 1489-1491

Keywords: 膀胱移行细胞癌,肿瘤分期,断层摄影术,X线计算机

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Abstract:

【】目的评价螺旋CT对原发性膀胱移行细胞癌(TCC)分期的准确性。方法对2000年9月-2009年9月诊治的73例原发性TCC患者,手术前行螺旋CT临床分期与手术后病理分期进行比较。结果TCC患者手术前螺旋CT临床分期与手术后病理分期相符率为90.5%。7例分期不符的患者中,4例螺旋CT分期低于病理分期,3例高于病理分期。结论螺旋CT对TCC的手术前临床分期较准确;螺旋CT分期误差产生的主要原因是不能确定肿大的淋巴结是否是癌转移。?【Abstract】ObjectiveToinvestigatethevalueofcontrasthelicalCTinNeopl-asmstaginginpatientswithtransitionalcellcarcinoma(TCC)ofbladder.MethodsTotal73patientswithTCCofbladdertreatedfromseptember2000toSeptember2009wasanalysedtocomparepreoperativehelicalCTexaminationwithpostoperativepathologicaldiagnosis.ResultsThecoincidentstagingofhelicalCTandpathologicalfindingofTCCofbladderwasfoundtobe90.5%.Intheremainingsevenpatients,fourpatientswereofoverstagingandthreepatientswereofunderstagingrespectively.ConclusionTheearlyenhancingphaseofhelicalCTishelpfulintheevaluationofthestaginginpatientswithTCCofbladder.ThecauseofincorrectingstagingbypreoperativeCTwasusualyduetothedifficultyindetermingiflymphnodemetastasisoccurs.

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