女性尿道癌の治療成績

RESULT OF THERAPY FOR CARCINOMA OF THE FEMALE URETHRA

　1972年から1984年までに慈恵医大泌尿器科で治療を行つた女性尿道癌は9例である。平均年齢は69歳，病理組織診断は移行上皮癌，腺癌，悪性黒色腫，未分化癌が各々2例，扁平上皮癌が1例であつた。病期分類はstage A 2例，stage B 1例，stage C−21例，stageC−32例，stage D−12例，stage D−21例であつた。死亡例は4例（stage B 1例，stage D3例）で，このうち3例は初診時鼠径リンパ節転移が存在した。生存例は5例（stage A 2例，stage C 3例）であつた。stage A 2例はTURと放射線治療を併用し，stage C 3例に対しては根治的手術を施行した。尿道癌9例の4年生存率は37％，平均生存期間は2年であつた。

Between 1972 and 1984, nine female patients with the urethral malignant tumor were seen at Jikei University Hospitals. The ages at the time of diagnosis ranged from 57 to 78 years. The chief com-plaints were bleeding in 3 cases, dysuria and burning upon urination in 2 cases, grosshematuria and protruding meatal mass in one case respectively. The pathological type was transitional cell carcinoma in 2, malignant melanoma in 2 and squamous cell carcinoma in one case.

Three patients of stage D and one patient of stage B died in 2 years after treatment. In three of them, inguinal lymph node metastases were seen on initial diagnosis.