膀胱非尿路上皮性恶性肿瘤15例诊治

    Diagnosis and treatment of nonurothelial bladder cancer:a report of 15 cases

    • 摘要: 目的:提高膀胱非尿路上皮性恶性肿瘤的诊治水平。方法:分析15例膀胱非尿路上皮性恶性肿瘤的临床资料,行B超、盆腔CT以及膀胱镜检查加活检。采用膀胱全切除术1例,膀胱部分切除术14例。结果:术后病理检查证实膀胱腺癌11例,膀胱鳞癌4例;术后平均存活时间为15.6个月。结论:膀胱非尿路上皮性恶性肿瘤临床少见,恶性程度较高,预后较差。早期诊断和手术治疗极其重要,根治性全膀胱切除术是推荐的首选治疗方法。

       

      Abstract: Objective:To improve the diagnosis and treatment of nonurothelial cancer of the bladder.Methods:Fifteen cases of nonurothelial cancer of the bladder were reviewed.The diagnostic methods included ultrasound,pelvic CT scan,cystoscopy and biopsies.Partial cystectomy was performed in 14 cases,and radical cystectomy in 1 case.Results:Adenocarcinoma was observed in 11 cases,and squamous cell carcinoma in 4 cases.The mean survival time was 15.6 months.Conclusions:The nonurothelial bladder cancer is rarely seen.It's highly malignant and has a poor prognosis.Early diagnosis and surgical treatment are essential.Radical cystectomy is recommended as the first choice for treatment of the disease.

       

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