Ertuğrul ŞEFİK, Arda YEŞİLOVA, İsmail BASMACI, Serdar ÇELİK, Serkan YARIMOĞLU, Tarık YONGUÇ, BÜLENT GÜNLÜSOY

ÜROTELYAL MESANE KANSERİ NEDENİYLE RADİKAL SİSTEKTOMİ YAPILAN 14 KADIN HASTANIN ONKOLOJİK SONUÇLARI VE SAĞKALIM VERİLERİNİN DEĞERLENDİRİLMESİ

Giriş: Mesane kanseri nedeniyle radikal sistektomi yapılan kadın hastaların onkolojik sonuçlarını ve sağkalım verilerini değerlendirmek Gereç ve Yöntem: Kliniğimizde mesane kanseri nedeniyle Ocak 2006-Kasım 2016 tarihleri arasında radikal sistektomi operasyonu yapılan hastaların verileri retrospektif olarak incelendi. Bu hastalar arasından 14 kadın hasta çalışmaya dahil edildi. Bulgular: Mesane kanseri nedeniyle radikal sistektomi yapılan 178 hasta vardı. Bu hastalardan 156(%91.7) sı erkek, 14 (%8.3) ü kadındı. Kadın hastaların yaş ortalaması 63.2(±10.1) idi. Kadın hastaların preoperatif değerlendirmesinde 13 hastada organa sınırlı hastalık varken 1 hasta lokal ileri evredeydi. Üriner diversiyon çeşidi olarak 6 hastaya ileal conduit, 8 hastaya ise üreterokutanostomi yapıldı. Kadın hastalarda genel sağkalım 45.4±12.6 ay, kansere özgü sağkalım ise 49.2±13.2 ay olarak bulundu. Sonuç: Kadınlarda kasa invaze mesane kanseri, organa sınırlı evrede tanı konulup tedavi edildiği zaman etkin onkolojik kontrol ve sağkalım sonuçları elde edilebilir.

EVALUATION OF ONCOLOGIC RESULTS AND SURVIVAL DATA OF 14 FEMALE PATIENTS WHO UNDERWENT RADICAL CYSTECTOMY DUE TO UROTHELIAL BLADDER CANCER

Introduction:To evaluate the oncological outcomes and survival data of female patients who underwent radical cystectomy due to bladder cancer. Materials and methods:The data of patients who underwent radical cystectomy operation due to bladder cancer were reviewed retrospectively between January 2006 and November 2016 in our clinic,. Of these patients, 14 female patients were included in this study. Results:There were 178 patients who underwent radical cystectomy due to bladder cancer. Of these patients, 156 (91.7%) were male and 14 (8.3%) were female. The mean age of the female patients was 63.2 (± 10.1). In preoperative evaluation of female patients, 13 patients had organ-limited disease while 1 patient had local advanced disease. In female patients; overall survival was 45.4 ± 12.6 months while cancer-specific survival was 49.2 ± 13.2 months. Conclusion:In women, effective oncologic control and survival results can be obtained when muscle invasive bladder cancer is diagnosed and treated at organ-confined stage.

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