腺性膀胱炎伴发膀胱肿瘤的诊断及治疗（附1例报告）  

The diagnosis and treatment of the cystitis glandularis together with the bladder tumor （ 1 case report ）

作　　者：李欣慧[1] 杨嗣星[1] 吴天鹏[1] 宋超[1] 刘凌琪[1] 廖文彪[1] 李永伟[1] 

机构地区：[1]武汉大学人民医院泌尿外科,湖北430060

出　　处：《国际泌尿系统杂志》2012年第3期317-319,共3页International Journal of Urology and Nephrology

摘　　要：目的探讨腺性膀胱炎伴发膀胱肿瘤的临床诊断及治疗。方法回顾性分析1例腺性膀胱炎伴发膀胱肿瘤患者的临床资料：患者女性，49岁，因尿频和反复发作性肉眼血尿就诊。既往有卵巢囊肿行右侧卵巢切除术，及子宫内膜异位症行激素替代治疗病史；既往无尿路感染病史，尿检除红细胞阳性外，未见白细胞和非典型细胞；肿瘤标记物检查阴性。膀胱镜检可见膀胱左后壁片状非乳头型黏膜病变，伴蓝色可疑子宫内膜异位灶；CT平扫见膀胱左后壁直径3cm密度增强的类圆形病灶。行经尿道膀胱新生物电切术。结果术中快速冰冻及术后活检示Brunngnests伴腺性化生、腺性膀胱炎、局灶性囊性膀胱炎（可见炎性细胞浸润），未见恶性细胞。术后患者恢复良好，随访至今膀胱肿物明显缩小，未行相关肿瘤学治疗。结论腺性膀胱炎伴发膀胱肿瘤者应完善检查综合分析，考虑非恶变肿瘤者可仅行经尿道电切术，但术后应定期复查、加强随访。Objectives To investigate the approach of diagnosis and treatment of the cystitis glandulafis together with the bladder tumor. Methods Retrospective analysis the clinical data of one case with the cystitis glan- dularis together with the bladder tumor and discussed with the reviewing literature. One female patient aged 49 encountered pollakisuria and recurrent gross hematuria for about one month. CT scan showed an extravesical iuvasive mass and cystoscopy revealed a non - papillary tumor with blueberry spots in the bladder, and the TUR was performed. Results Histopathological examination revealed cystitis glandularis with cystitis cystica. And the postop- erative CT scan and cystoscopy showed reduction of the mass in the bladder without any treatments. The patient is currently well with no evidence of tumor growth after a 12 month follow - up till now. Conclusions Detailed examination should be accepted by the patients with the cystitis glandularis together with the bladder tumor. And the TUR is effective means for treating the cystitis glandularis together with the nonmalignant bladder tumor, but the regular follow - up is still necessary.

关 键 词：膀胱炎 膀胱肿瘤 

分 类 号：R694.3[医药卫生—泌尿科学]