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自1964～1983年底,我科共收治膀胱肿瘤100例。男75例、女25例;最小年龄9岁,最大80岁,84%发生在40岁以上。95例病理检查结果:移行上皮细胞癌72例(75.8%),乳头状瘤14例(占14.7%),鳞癌5例(5.3%),未分化癌2例(2.1%),腺癌1例(1%),癌肉瘤1例(1%)。随访76例,其中11例死亡(14.5%)。本文对100例膀胱肿瘤诊断及治疗中的一些问题作一分析和讨论。一、关于诊断问题:膀胱肿瘤主要症状为间歇性无痛性肉眼血尿,病程继续发展可有膀胱刺激症状、排尿困难和贫血等。早期诊断主要依靠及时的膀胱镜检查和活检,多数病例诊断并无困难,但临床上由于各种因
From 1964 to the end of 1983, our department received a total of 100 cases of bladder cancer. 75 males and 25 females; the youngest age of 9 years old, up to 80 years old, 84% occurred in 40 years of age or older. The results of pathological examination in 95 cases were 72 cases (75.8%) of transitional cell carcinoma, 14 cases of papilloma (14.7%), 5 cases of squamous cell carcinoma (5.3%), 2 cases of undifferentiated carcinoma Case (1%), Carcinosarcoma in 1 case (1%). Follow-up 76 cases, 11 of them died (14.5%). In this paper, 100 cases of bladder cancer diagnosis and treatment of some of the problems for an analysis and discussion. First, on the diagnosis: the main symptoms of bladder cancer is intermittent painless gross hematuria, the disease may continue to develop symptoms of bladder irritation, dysuria and anemia. Early diagnosis depends mainly on timely cystoscopy and biopsy, the diagnosis of most cases without difficulty, but clinically due to a variety of causes