【摘要】 目的探讨膀胱憩室癌的临床病理特点和诊治方法。方法膀胱憩室癌7例,术前膀胱镜下活检确诊3例,术中冰冻切片确诊4例。3例行膀胱部分切除术,3例行根治性膀胱全切,1例行膀胱造瘘术。结果移行细胞癌3例,2例术后膀胱内局部复发,分别死于肿瘤转移和脑出血;1例随访5年无瘤存活。鳞癌2例,1例术后6个月死于肿瘤转移,1例随访2年无瘤存活。腺癌1例,术后11个月死于肺转移,混合性癌1例,随访6个月无瘤存活。结论膀胱憩室癌确诊首选膀胱镜检及活检,其临床分期不同,预后明显不同,非移行细胞癌有早期浸润行为,预后差。更多还原

【Abstract】 【Objective】 To explore the clinical and pathological features of carcinoma in bladder diverticulum,and its diagnosis and treatment.【Methods】 7 cases of carcinomas in bladder diverticula.3 cases were pre-operatively confirmed by biopsy with cystoscopy.4 were intra-operatively confirmed by frozen section of samples.Three patients underwent partial cystectomy,three radical cystectomy,and one cystostomy.【Results】 Three patients with transitional cell tumors,the two relapsed after operation and died of distant metastasis and brain hemorrhage respectively,the other one has survived free of tumor for 5 years since operation.Two with squamous cell carcinoma,one died of multiorgan metastasis 6 months after operation,the other has survived free of tumor for 5 years since operation.One was adenocarcinoma,died of pulmonary metastasis 11 months after operation.One was mixed carcinoma and has survived free of tumor for 6 months since operation.【Conclusions】 Cystoscopy is the first of choices for diagnosing the tumors of the bladder diverticulum.Imaging is of important significance in staging.The prognosis of carcinoma in bladder diverticulum varies according to the clinical and pathological stages.The unusual histological types such as squamous carcinoma and adenocarcinoma have poor prognosis for their early invasive behavior.更多还原