膀胱憩室内肿瘤七例诊治分析  

Diagnosis and treatment of carcinoma in 7 vesical diverticulum cases

作　　者：陈强[1] 毛昕[1] 荆涛[1] 孙立江[1] 

机构地区：[1]青岛大学医学院附属医院泌尿外科,山东青岛266003

出　　处：《中华肿瘤防治杂志》2010年第23期1974-1975,共2页Chinese Journal of Cancer Prevention and Treatment

摘　　要：为了探讨膀胱憩室内肿瘤的临床病理特点,回顾性分析膀胱憩室内肿瘤7例的临床资料。7例随访6-72个月,平均25个月。在4例移行细胞癌中,1例术后2个月死于脑血管意外,3例分别于术后6、8和12个月局部复发,再行根治性膀胱全切加回肠膀胱术,2例术后死于肿瘤转移,1例随访6年无瘤生存。1例混合性癌患者和1例鳞癌患者术后10和14个月死于多器官转移。1例腺癌术后11个月死于心肌梗死。初步研究结果提示,膀胱镜和影像学检查是诊断膀胱憩室内肿瘤的主要手段,治疗应采取外科手术特别是根治性膀胱全切术,必要时辅以放、化疗。The objective of this study was to investigate the clinical and pathological features of primary tumors in vesical diverticula,The clinical date of 7 cases were analyzed retrospectively.The seven cases were followed up for an average of 25 months（6-72 months）.One case of transitional cell carcinoma died of cerebral accident 2 months after operation.Three cases of transitional cellcarcinoma had relapse and then underwent radical cystectomy and ileal neobladder.Of them 2 died of distant metastasis soon after operation.and one had survived free of tumor for 6 years since operation.One case of mixed carcinoma and one case of squamous cell carcinoma died of multiorgan metastasis 10 and 14 months after operation.One case of adenocarcinoma died of myocardial infarction 11 months after operation.In conclusion,cystoscopy and imaging are important diagnosis tools for carcinoma in bladder diverticulum.Surgical operation,especially radical cystectomy should be performed.Adjunctive therapies such as chemotherapy and radiotherapy can be conducted if necessary.

关 键 词：膀胱肿瘤 憩室 回顾性研究 

分 类 号：R737.14[医药卫生—肿瘤]