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電腦斷層造影在膀胱癌分期之應用

Computed Tomography in Staging of Carcinoma of Urinary Bladder

摘要


台北榮總自75年1月至76年12月,共有294例膀胱癌,其中具有完整開刀前之電腦斷層造影與病理報告者94例。男性87例,女性7例。年齡從36歲至90歲,平均年齡為64歲。我們對這94例膀胱癌做回顧性之電腦斷層造影分期。電腦斷層造影分期結果與病理分期相同者有83例,而相異者有11例;其中過度分期者有4例,分期不足者有7例。總準確率為88.3%。所以電腦斷層造影對於膀胱之分期(即≦B2、C及D等三期)相當準確,有助於泌尿外科醫師之治療計劃。

關鍵字

膀胱癌 分期 電腦斷層攝影

並列摘要


From January 1986 to December 1987, there were 294 cases of transitional cell carcinoma of urinary bladder documented in our hospital, which 94 cases of them had complete studies of both pre-operative computed tomography (CT) and pathological staging. According to the CT pictures of carcinoma of urinary bladder, we modified the Marshall Classification and staged the tumor as ”stage B2 or less”, ”stage C”, and ”stage D”. 83 cases were correctly staged by CT, and 11 cases were not correctly staged. The total accuracy rate is 88.3%. So CT is helpful in staging of carcinoma of urinary bladder, and is also helpful in the choice of patient's treatment modalities.

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