骨盤内臓器全摘除術を施行した進行前立腺癌

Five Cases of Pelvic Exenteration for Advanced Prostate Cancer

　膀胱と直腸に浸潤を有し，そのために膀胱刺激症状や腸閉塞症状を呈したstage D2の進行前立腺癌に対して，症状の改善と治療効果を上げるために，骨盤内臓器全摘除術と尿路変向術，人工肛門造設術，リンパ節郭清術を行った。さらに，化学内分泌治療を手術前後に併用した。治療結果は，生存は1例で癌なし96か月生存し社会復帰している。また，4例は死亡したが，その生存期間はそれぞれ21,51,70,81か月であった。

To improve the therapeutic results as well as the qualityof life in advanced prostate cancer patients, pelvic exentera-tion was performed in combination with chemohormonaltherapy before and after operation on five patients withstage D2 prostate cancer. Tumor invasion in the peripro-static organs including urinary bladder and large intestinewas apparent with bladder irritation and ileus symptorns.One of the 5 patients survived with no evidence of diseasefor 96 months. Four patients died,3 with prostate cancerand 1 with cerebrovascular accident but survived for 21,51,70,81months.