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腺性膀胱炎并发膀胱移行细胞癌临床上并不多见。我院自1991年~1998年2月共收治5例,现就两者的关系、诊断及治疗作一探讨。 病例介绍 例1:男,36岁。无痛性间歇肉眼血尿5年。B超检查提示膀胱内占位病变。膀胱镜检查见膀胱右侧壁2cm×2cm菜花状赘生物,基底宽,肿块中央区可见血管。活组织检查及术后病理报告为移行细胞乳头状癌Ⅰ~Ⅱ级伴腺性膀胱炎。行膀胱部分切除术。术后予羟基喜树碱膀胱灌注。随访1年无复发。
Glandular cystitis complicated with bladder transitional cell carcinoma is rare in clinical practice. Our hospital from 1991 to February 1998 were admitted to 5 cases, are the relationship between the two, diagnosis and treatment for a discussion. Case Presentation Example 1: Male, 36 years old. Painless intermittent gross hematuria 5 years. B-ultrasound examination showed lesions in the bladder. Cystoscopy see the right side wall of the bladder 2cm × 2cm cauliflower neoplasms, basal wide, visible mass in the central blood vessels. Biopsy and postoperative pathology were reported as transitional cell papillary carcinoma Ⅰ ~ Ⅱ with glandular cystitis. Bladder partial excision. Postoperative hydroxycamptothecin bladder irrigation. Follow-up 1 year without recurrence.