容易被延误诊断的女性膀胱癌

• 出 处: 健康管理
• 发表日期: 2015年09期
• 关键词: 膀胱移行细胞癌 细菌培养结果 中段尿 肿瘤诊断 数据显示 浸润性癌 肉眼血尿 尿细胞学 尿液分析 肿瘤切除

一名76岁的女子因反复发作的尿频、尿急、恶臭尿前往医院就诊。虽然经验性使用抗生素改善了她的症状,但两次中段尿的细菌培养结果均是阴性。三个月后,她因肉眼血尿再次复诊,诊断为膀胱移行细胞癌。为什么会被延误诊断?由于膀胱癌多见于男性,所以女性更容易被延误诊断。在英国,2009年到2010年的肿瘤诊断数据显示,当年女性被延误诊断的数目比男性多435人,但却没有数据能解释原因。

A 76-year-old woman visits a hospital for recurrent urinary frequency, urgency and stink urine. Although the empirical use of antibiotics improved her symptoms, the results of bacterial cultures in both middle stages of urine were negative. Three months later, she was diagnosed with transitional cell carcinoma of the bladder because of gross hematuria. Why is it delayed diagnosis? Because bladder cancer is more common in men, so women are more likely to be delayed diagnosis. In the UK, tumor diagnostic data from 2009 to 2010 showed that there were 435 more women diagnosed with delay than men at that time, but no data could explain the reason.