原名「台灣學術線上」
包含TAO期刊庫 + TAO書籍庫 + 論文 + 史料文獻
首頁 | 關於TAO | 瀏覽 | 進階查詢 | 參考工具 | 會員服務 | 已購專書 | RSS服務 | 電子報 | FAQ  
查詢範圍:
   
查詢模式:
熱門查詢詞:
dvdTaiwan vet雞濾泡顆粒細胞其他綜合損益報導在損
   
   
   
     
   
 
項次 書目
1
題名:侵犯性上泌尿道移形上皮細胞癌之治療     (14點)
Treatment of Invasive Transitional Cell Carcinoma of Upper Urinary Tract
著者:胡渝昌(Yu-Chang Hu) ;劉文山(Wen-San Liu) ;葛魯蘋(Luo-Pin Ger) ;林立青(Lih-Ching Lin) ;陳建勳(Chien-Hsun Chen) ;張慶雄(Ching-Hsiung Chang)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:移形上皮細胞癌 ; 上泌尿道 ; 輸尿管腫瘤 ; 第二個泌尿道腫瘤 ; Transitional cell carcinoma ; Upper urinary tract ; Ureteral tumor ; Second location tumor
刊名:放射治療與腫瘤學
頁碼:17-23
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

且且: 固顧高雄榮民總醫院侵犯性上泌尿道移形上皮細胞瘋的治療結果。 姐姐盟主法: 自1 99 1 年3 月至1 9 9 6 年1 2 月共有46 位侵犯性上泌尿道移形上皮細胞泊的病愚接受根除性手f材,其中男惟有3 1位,女性有1 5位,年齡分佈為43 至82歲( 中位數67 ) 。其中有1 6 位接受手術後放射線治療,總劑量範園是48 .6至60 Gy (中位數5 5) ; 1 4 位接受手術後化學治療, 使用MVEC (methotrex 帥, vi n b l a sti惘, epirubicin, c is p lati n ) 或M CV (methotrexate, cisplatin, vinblastine) 2 至12 個療程(中位數4) 0 T2 、T3 、T4 (削CC ' 1992) 各有鈞、2 1 、5 例, 手術時已有淋巴結轉移者有4 例,綠尿管腫瘤者有24例。 益基: 經過5-6 5 個月的追踩(中位數3 2 ) . 發生局部復發者有7 例(1 5克) . 發生遠端聽移者有1 6 例( 3 5 % ) 。所有病患的5 年存活率是19 % ﹒5 年無病存活率是16% 。預後因子中, 手術時沒有淋巴結時移及原發部位為給尿管腫瘤對5 年存活率與5 年無病存活幸而言是預後較佳因子且達到統計上的差異。單獨手術者、手術後放射線治療者及手術後化學治療者之5 年存活率分別是l 帥、1 2克及3 7 % (p=0.43) . 而5 年無病存活率分別是1 5 % 、10克、2 7 % (p=0 .37) 。手術後放射線治療者無嚴重併發症發生。手術時已有淋巴結轉移者有4例,其中3例發生遠端轉移而且已死亡。發生第三個;10尿道腫密者有8 例, 發生部位均在膀忱。 益益: 不論是否給予手術後放射線治療或化學治療﹒ 均有相當高比例的病人發生遠端轉移。手術時沒有淋巴結總移及原發部位為輸尿管腫瘤對5年存活率與5 年無病存活率而言是預後較佳因子。手術後化學治療者的5年存活率與5 年無病存活率較單獨芋術者與手術後放射線治療者為佳,雖未達到統計上的意義. f旦值得進一步研究。
Purpose: To review the treatm ent results of invasiv e transitional cell carcinoma of upper urinary tract at Veterans General Hospital-Kaohsiung. Materials and Methods: From March 1991 to December 1996, 46 patients with invasive transitional cell carcinoma of the upper urinary tract received radical surgery. There were 31 male and 15 female patients. Patient's age range s between 43 and 82 years. (median: 67). Sixteen patients received postoperative radiotherapy with dosages of 48.6 to 60 Gy (median: 55) to the tumor bed. Fourteen patients received 2 to 12 courses (median: 4) of post-operative chemotherapy using regimens of MVEC (methotrexate, vinblastine, epirubicin, cisplatin) or MCV (methotrexate, cisplatin, vinblastine ). Twenty, 21, 5 patients were pathologically staged as T2, T3, T4 (Al CC, 1992), respec tively. Four patient s had lymph node metastasis pathologically. Twenty four patients had tumor confined to ureter only. Results: Follow-up duration ranges from 5 to 65 month s (median: 32). Overall, 7 patients (15%) devel oped local recurrence and 16 patient s (35%) developed distant metastasis. Overall 5-year survi val rate (5 YSR) was 19%, and 5-year disease-free survival rate (5 DFS) was 16%. Negative lymph nodes metastasis and the ureteral tumor only were statistically significant good factor s for 5 YSR and 5 DFS. 5 YSR for surgery alon e group, post-operati ve radiotherapy gro up and post-operative chemotherapy group were 16%, 12% and 37% respectively (p=0.43 ). 5 DFS for the aforementioned treatment arms were 15%, 10% and 27% respectively (p=O.37). No seve re complications were observed in patients with post-operative radio therapy. Three out of the 4 patient s with lymph node metas tasis developed distant metastasi s and died . Eight patient s had second location tumors. all of which occurred in the blad der. Conclusions: Thi s study showed relative high incidences of patient s developing distant metastasis regardl ess of treatment arms was given. Negative lymph node metastasis and the ureteral tumor only were good factor s for 5 YSR and 5 DFS. The post-operati ve chemotherapy group had a higher 5 YSR and 5 DFS than the other treatment group s, and the results need further confirmation althou gh it was not statistically significant.


    

本卷期目次
放射治療與腫瘤學
Treatment Results of Polymorphic Reticulosis at Veterans General Hospital-Taipei/ Hsi-Sheng ChsiaMien-Jung LiangYuk-Wah TsangChih-Hung ShuWing-Yin LeeKwan-Hwa ChiKuang-Yao ChenJing-Yi ChaoSang-Hue Yen
鼻咽癌放射治療後皮膚溼性脫屑的處理與分析/ 陳玉萍曾雁明洪志宏湯國政曾振淦陳文政
侵犯性上泌尿道移形上皮細胞癌之治療/ 胡渝昌劉文山葛魯蘋林立青陳建勳張慶雄
Dose-Volume Analysis for 4 Patients with Radiation-Induced Liver Disease after 3-Dimensional Conformal Radiotherapy for Hepatocellular Carcinoma/ Jason Chia-Usien ChengtJian-Kuen WuJones Chao-Ming HuangSkye Hongiun ChengDavid HuangJames Jer-Min JianPo-Sheng Yang
Assessment of Dose Perturbation Due to Air Cavity Effects under Megavoltage Photon Beams/ Ji-An LiangFang-Jen LinAn-Cheng ShiauCheng-Pang TuHsieh-Ting WuShih-Neng YangShang-Wen Chen
Effect of Vitamin E on Arylamine N-Acetyltransferase Activity in Colon Cancer Tissues/ Chi-Fu HungJin-Gung ChungChih-Chung SuSu-Ing LiuJen LiaoMiki KiyokawaHygeia Hung
Effects of Cobalt-60 Irradiation on Trabecular Bone/ Chung ShihChih-Chuan TengMei-Yueh HuangJing-Min Hwang
Definitive Radiotherapy with or Without Chemotherapy for Resectable Head and Neck Cancer/ Jason Chia-Hsien ChengSkye Hongiun ChengJames Jer-Min JianLawrence K. YenKwan-Yee ChanCheng-I Hsieh
遠隔治療機之屏蔽輻防安全評估/ 林招膨林松彥劉慕台朱鐵吉
Effect of Vitamin E on Arylamine N-Acetyltransferase Activity in Colon Cancer Tissues/ Chi-Fu HungJin-Gung ChungChih-Chung SuSu-Ing LiuJen LiaoMiki KiyokawaHygeia Hung
侵犯性上泌尿道移形上皮細胞癌之治療/ 胡渝昌劉文山葛魯蘋林立青陳建勳張慶雄
Treatment Results of Polymorphic Reticulosis at Veterans General Hospital-Taipei/ Hsi-Sheng ChsiaMien-Jung LiangYuk-Wah TsangChih-Hung ShuWing-Yin LeeKwan-Hwa ChiKuang-Yao ChenJing-Yi ChaoSang-Hue Yen
Definitive Radiotherapy with or Without Chemotherapy for Resectable Head and Neck Cancer/ Jason Chia-Hsien ChengSkye Hongiun ChengJames Jer-Min JianLawrence K. YenKwan-Yee ChanCheng-I Hsieh
鼻咽癌放射治療後皮膚溼性脫屑的處理與分析/ 曾雁明洪志宏湯國政曾振淦陳文政
Assessment of Dose Perturbation Due to Air Cavity Effects under Megavoltage Photon Beams/ Ji-An LiangFang-Jen LinAn-Cheng ShiauCheng-Pang TuHsieh-Ting WuShih-Neng YangShang-Wen Chen
Dose-Volume Analysis for 4 Patients with Radiation-Induced Liver Disease after 3-Dimensional Conformal Radiotherapy for Hepatocellular Carcinoma/ Jason Chia-Hsien ChengJian-Kuen WuJones Chao-Ming HuangSkye Hongiun ChengDavid HuangJames Jer-Min JianPo-Sheng Yang
遠隔治療機之屏蔽輻防安全評估/ 林招膨林松彥劉幕台朱鐵吉
Effects of Cobalt-60 Irradiation on Trabecular Bone/ Chung ShihChih-Chuan TengMei-Yueh HuangJing-Min Hwang
 
   
 
   

與TAO合作 | 隱私與版權聲明 | 聯絡方式 | 下載Adobe Reader
地址:台北市中正區(100)北平東路30-12號3樓
電話:(02)2393-6968 傳真:(02)2393-6877
Email: service@wordpedia.com
Wordpedia Family: 學校、企業版入口 | 遠流影音館
Copyright©2011 Wordpedia Co., Ltd. All Rights Reserved.