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요관 이행세포암에서 수신증 및 종양 직경의 임상적 의의

Other Titles
 The Clinical Significance of Hydronephrosis and the Tumor Diameter in Ureteral Transitional Cell Carcinoma 
Authors
 조강수  ;  조남훈  ;  최영득 
Citation
 KOREAN JOURNAL OF UROLOGY, Vol.47(2) : 131-136, 2006 
Journal Title
KOREAN JOURNAL OF UROLOGY(대한비뇨기과학회지)
ISSN
 0494-4747 
Issue Date
2006
Keywords
Transitional cell carcinoma ; Ureter ; Hydronephrosis ; Tumor burden
Abstract
Purpose: We evaluated the clinical significance of the grade of hydronephrosis and the tumor diameter in ureteral transitional cell carcinoma (TCCa).

Materials and Methods: From 1986 to 2003, the medical records of 101 patients who had been surgically treated and diagnosed with ureteral TCCa were retrospectively reviewed with regard to the clinicopathological characteristics, including the grade of hydronephrosis and the tumor diameter

Results: The grade of hydronephrosis was grade 0 in 11 patients, grade I/II in 34 patients and grade III/IV in 56 patients, respectively. The tumor diameter measured on the transverse section of computed tomography was <1.5cm in 39 patients, 1.5cm ≤<2.5cm in 36 patients and ≥2.5cm in 26 patients, respectively. Of the 56 patients with grade III/IV hydronephrosis, invasive tumor was found in 49 patients (87.5%) and grade III tumor was found in 48 patients (85.7%). Of the 62 patients with a tumor diameter 1.5cm or greater, invasive tumor was found in 50 patients (80.6%) and grade III tumor was found in 52 patients (83.9%). The grade of hydronephrosis and the tumor diameter correlated with the T stage and tumor grade (p<0.001). In addition, the grade of hydronephrosis (p=0.041) and the tumor diameter (p=0.007) have a significant influence on the disease-specific survival.

Conclusions: The grade of hydronephrosis and the tumor diameter correlate with the pathologic T stage and tumor grade. Thus, radical surgery is required for the patients with severe hydronephrosis or a large tumor diameter.
Files in This Item:
T200600971.pdf Download
DOI
10.4111/kju.2006.47.2.131
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Cho, Nam Hoon(조남훈) ORCID logo https://orcid.org/0000-0002-0045-6441
Choi, Young Deuk(최영득) ORCID logo https://orcid.org/0000-0002-8545-5797
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/109930
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