原发性膀胱淋巴瘤1例报告并文献复习  

Primary Lymphoma of the Bladder:a Case Report

作　　者：谢辉[1] 赵捷[1] 江典存[1] 张依利[1] 

机构地区：[1]福建省福州市第一医院泌尿外科,福建福州350009

出　　处：《中国临床医学》2013年第6期845-846,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨原发性膀胱淋巴瘤的临床表现、诊断和治疗手段。方法:2009年9月收治1例74岁男性原发性膀胱淋巴瘤患者,以反复无痛性肉眼血尿20 d伴进行性排尿困难为主要症状。结合国内外文献报道,探讨此类膀胱肿瘤的特点和处理方法。结果:患者经膀胱镜联合活检病理诊断为膀胱恶性肿瘤,遂行根治性全膀胱切除术联合回肠膀胱术。术后病理结果为膀胱间变性大细胞淋巴瘤,采用CHOP方案化疗,随访1年余,因肿瘤局部复发及全身多处转移而死亡。结论:原发性膀胱间变性大细胞淋巴瘤的临床表现与一般膀胱肿瘤类似,其治疗方案需视患者情况而定,患者预后较差。Objective：To explore the clinical manifestations,diagnosis and treatment of primary lymphoma of the bladder.Methods：A 74-year-old patient with primary lymphoma of the bladder hospitalized in September 2009 had repeated painless gross hematuria for 20 d accompanied by progressive dysuria.The medical literatures were reviewed to explore the features and treatment of this kind of bladder neoplasm.Results：The diagnosis was confirmed by cystoscopy plus biopsy.The patient underwent radical cystectomy combined with ileal conduit.The patient was diognosised as anaplastic large cell lymphoma（ALCL） by pathological examination.And he received CHOP chemotherapy after surgery,and has been followed up for more than one year.He died from local tumor recurrence and multiple metastasis.Conclusions：The clinical manifestations of the primary ALCL is similar to general bladder tumor.The treatment should be based on the patient＇s condition.The prognosis of ALCL is poor.

关 键 词：膀胱 淋巴瘤 间变性大细胞淋巴瘤 

分 类 号：R733[医药卫生—肿瘤]