THE PROGNOSTIC-SIGNIFICANCE OF VASCULAR INVASION IN UPPER URINARY-TRACT TRANSITIONAL CELL-CARCINOMA

被引:23
作者
HASUI, Y [1 ]
NISHI, S [1 ]
KITADA, S [1 ]
OSADA, Y [1 ]
ASADA, Y [1 ]
机构
[1] MIYAZAKI MED COLL,DEPT PATHOL 1,MIYAZAKI 88916,JAPAN
关键词
CARCINOMA; TRANSITIONAL CELL; KIDNEY NEOPLASMS; URINARY TRACT; NEOPLASM METASTASIS; VASCULAR DISEASES;
D O I
10.1016/S0022-5347(17)37028-3
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
The prognostic significance of vascular invasion was evaluated in a retrospective series of 30 patients with upper urinary tract cancer who underwent a potentially curative operation. Vascular invasion was found in 11 patients (36.7%). The incidence of vascular invasion was well correlated with tumor grade and stage. The incidence of metastases postoperatively was significantly higher in the patients with (72.7%) than without (21.1%) vascular invasion (p <0.01). The survival rate of the patients with vascular invasion was significantly lower than in those without vascular invasion (p <0.005). In multivariate Cox regression analysis the prognostic value of vascular invasion was independent of tumor stage and grade. These results indicate that vascular invasion should predict a more unfavorable outcome in patients with upper urinary tract cancer as an independent morphological indicator.
引用
收藏
页码:1783 / 1785
页数:3
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