原发性膀胱印戒细胞癌的诊断与治疗(附一例报道)  

Diagnosis and treatment of primary bladder signet-ring cell carcinoma(a case report)

作　　者：陈绪龙[1] 王海平[1] 赵亚昆[1] 张川[2] 袁刚军[1] 金勐[1] 雨山[3] 刘天艺 祝青国[1] 

机构地区：[1]哈尔滨医科大学附属第二医院泌尿外科,黑龙江哈尔滨150086 [2]成都市第五人民医院泌尿外科,四川成都611130 [3]哈尔滨医科大学附属第二医院病理科,黑龙江哈尔滨150086

出　　处：《现代医学》2014年第6期641-644,共4页Modern Medical Journal

摘　　要：目的:提高对原发性膀胱印戒细胞癌(PBSRCC)的认知与诊治水平。方法:结合文献回顾性分析1例PBSRCC患者的临床资料,就其发病机制、病理特点、临床表现、诊断、治疗进行讨论。结果:该患者男性,63岁,因间断性肉眼血尿就诊,入院后行手术治疗,术后病理诊断为膀胱印戒细胞癌,转入肿瘤科放化疗治疗,目前正在随访中。结论:PBSRCC是一种罕见的恶性肿瘤,进展快、恶性程度高,预后差。影像学检查及膀胱镜检的综合应用是诊断PBSRCC的主要方法,其确诊主要依靠病理组织学检查。根治性膀胱全切术是目前首选的治疗方法。Objective： To improve the recognition, diagnosis and treatment of primary bladder signet-ring cell carcinoma （PBSRCC）. Methods： One patient with PBSRCC was reported with review of the literature. We discussed and analysed the pathogenesis, pathology, clinical presentation, diagnosis and treatment. Results： The patient was male, aged 63 years, whose chief complain was intermittently macroscopic hematuria. The diagnosis of PBSRCC of the case was made by pathological examination after the operation. The patient had been transferred to the department of oncology for further chemotherapy after operation and now under follow up. Conclusions： PBSRCC has a series of characteristics such as extremely rare occurrence, fast development, highly malignantant poor prognosis. Iconography and cystoscopy are the main methods to diagnose PBSRCC. Histopathologic examination is the main way to confirm PBSRCC. The ridical cystectomy is the best treatment of choice.

关 键 词：膀胱肿瘤 印戒细胞癌 原发性 诊断 治疗 

分 类 号：R737.14[医药卫生—肿瘤]