العلاقة بين سرطان المثانة المرتشح بالطبقة العضلية ووجود انتقالات عقدية لمفاوية

Authors

  • إسلام ياسين قصاب

Abstract

أجريت الدراسة في مستشفى الأسد الجامعي باللاذقية بين عامي5 /1999 و5 2003/ ،  وشملت 46 مريضاً لديهم سرطان مثانة غازي للعضلات ( 38 ذكراً , 8 أنثى ) عمرهم الوسطي 65 سنة ) تراوحت الأعمار بين 40  و80 سنة(. معظم الأورام من نمط الخلايا الانتقالية بنسبة 89 %. و شخصت حالة سرطانة شائكة الخلايا عند مريض وحيد ، و أربعة حالات سرطانة غدية. عولج المرضى باستئصال المثانة الجذري مع تجريف عقد لمفاوية. وجد لدى 60.8% من المرضى مرحلة T2a ، و لدى 26% مرحلةT2b ، و لدى 13% مرحلة T3a. أما بالنسبة لدرجة الورم فكانت G3 الأكثر شيوعاً 67% ، و بالمرتبة الثانية G2 بنسبة  30%. لم يتبين ارتشاح العقد السرطاني عند الغالبية العظمى من المرضى بتجريف العقد اللمفاوية حيث كانت N0 عند 76%, و كان لدى 10.8%, 8.7%, 4% من المرضى N3 ،N2، N1على الترتيب. و أصيبت العقد اللمفاوية في 66%(4 من أصل6) من مرضى المرحلة T3a بينما كانت مصابة في 18%(5 من أصل 28) من مرضى المرحلة T2a. أما العقد اللمفاوية في المرحلة T2b فكانت مصابة N2 في 17%(2 من أصل 12).

The trial was performed in Alassad University Hospital and included 46 patients (38 males, 8 females) with invasive bladder tumor (28 with T2a, 12 with T2b, 6 with T3a) (1 with G1, 14 with G2, 31 with G3). The transitional cell carcinoma was the most prevalent (89 %). The squamous cell carcinoma was diagnosed in one case and the adenocarcinoma was diagnosed in 4 cases. The mean age was 65 years (range 40 – 80).The patients were managed with radical cystoprostatectomy with lymph nodes dissection. The nodes were not involved mostly (35 with N0, 5 with N1, 4 with N2, 2 with N3). In 2 cases, the nodes couldn't be dissected (N3 = 2 cases). The nodes were involved in 66% of patients with T3a and 17% of patients with T2b (N2), and in 18% of patients with T2a.

Downloads

Published

2019-01-17

How to Cite

1.
ياسين قصاب إ. العلاقة بين سرطان المثانة المرتشح بالطبقة العضلية ووجود انتقالات عقدية لمفاوية. Tuj-hlth [Internet]. 2019Jan.17 [cited 2024Apr.26];30(3). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/6537

Issue

Vol. 30 No. 3 (2008): العلوم الصحية

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

 Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series   .  The Readers have the right to send, print and subscribe to the initial version of the article, and the title of  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series  Publisher

journal uses a CC BY-NC-SA license which mean

You are free to:

  • Adapt — remix, transform, and build upon the material
  •  
  • The licensor cannot revoke these freedoms as long as you follow the license terms.

 

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Most read articles by the same author(s)