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本文对1972年至1985年治疗的40例膀胱腺癌作了回顾性研究。原发性腺癌共18例,包括原发于膀胱的8例及原发性脐尿管癌10例;继发性腺癌共22例,原发脏器是结肠(12例)、卵巢(2例)和前列腺(8例)。伴有移行细胞癌的腺癌不在研究之列,因为这样的肿瘤是在移行上皮恶性变后又产生的腺瘤样化生。脐尿管癌多见于女性(男/女=3/7),平均年龄(79岁)低于原发性膀胱癌(平均67岁)及继发性腺癌(平均65岁)。伴有或不伴有膀胱刺激症状的血尿是腺癌病人最多见的初发症状,但少数病人可无血尿而仅有膀胱刺激症状。原发性非脐尿管性腺癌病人在IVP检
In this paper, we retrospectively reviewed 40 cases of bladder adenocarcinoma from 1972 to 1985. Primary adenocarcinoma in 18 cases, including primary in the bladder and 8 cases of primary urachal carcinoma in 10 cases; secondary adenocarcinoma in 22 cases, the primary organ is the colon (12 cases), ovary (2 cases ) And prostate (8 cases). Adenocarcinomas with transitional cell carcinoma are beyond the study because such tumors are adeno-associated metaplasia that occurs after malignant transformation of the epithelium. Ureteral cancer was more common in women (M / F = 3/7) and was lower in mean age (79 years) than in primary bladder cancer (67% in average) and in secondary adenocarcinoma (65 years in average). Hematuria with or without bladder irritation is the most common initial symptom in patients with adenocarcinoma, but few patients have hematuria but only bladder irritation. Primary non-urachal adenocarcinoma patients in IVP test