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目的:探讨成人泌尿系横纹肌肉瘤的病变特点及临床诊治方法。方法:回顾性分析8例成人泌尿系横纹肌肉瘤患者的临床资料:男6例,女2例,发病年龄18～47岁,平均29.1岁。肿瘤位于膀胱3例,前列腺2例,睾丸旁2例,肾脏1例。结果:本组8例均确诊为横纹肌肉瘤,其中6例行手术治疗,术后给予化疗或放疗,另2例单纯给予化疗。2例1年内死亡,2例2年内死亡,4例仍在随访中。结论:成人泌尿系横纹肌肉瘤属少见病,恶性程度高,进展快,大多数患者就诊时已属晚期,治疗效果差,早发现、早诊断、早治疗及以手术为主的综合治疗方式能取得较好效果。
Objective: To investigate the pathological features and clinical diagnosis and treatment of adult urinary rhabdomyosarcoma. Methods: The clinical data of 8 adult patients with urinary rhabdomyosarcoma were retrospectively analyzed. There were 6 males and 2 females, with a mean age of 29.1 years (range, 18-47 years). The tumor was located in 3 cases of bladder, prostate in 2 cases, testes in 2 cases, 1 case of kidney. Results: All the 8 cases were diagnosed as rhabdomyosarcoma. Among them, 6 cases were treated by surgery, followed by chemotherapy or radiotherapy and the other 2 cases were given chemotherapy alone. Two patients died within 1 year, 2 patients died within 2 years and 4 patients were still under follow-up. Conclusion: Adult urinary rhabdomyosarcoma is a rare disease with a high degree of malignancy and rapid progression. Most patients are already in advanced stages of treatment. The treatment effect is poor. Early detection, early diagnosis, early treatment, and surgery-based comprehensive treatment can be achieved Better effect.