论文部分内容阅读
结石同时合并鳞癌、腺癌者罕见,现报告1例。患者,男,64岁。因尿频、排尿不畅27年,近1月加重,于1984年11月27日入院。KUB发现耻骨联合上方有一13×8cm椭圆形不透光结石影。B超示膀胱区可见直径8cm半圆形强回声带,后方拖有宽大之声影。尿液中查到鳞癌及腺癌两种癌细胞。临床诊断为膀胱巨大结石合并膀胱癌。同年12月手术,从膀胱内取出一13×8×6cm巨型结石,色灰黄,质硬;重450g,摘除结石后发现输尿管间嵴后方有一直径2cm隆起之肿瘤。膀胱颈右侧为境界不清之溃疡,并附有胶冻样分泌物。病检:镜下膀胱
Stones combined with squamous cell carcinoma, adenocarcinoma are rare, is reported in 1 case. Patient, male, 64 years old. Due to frequent urination, poor urination 27 years, nearly January aggravating, on November 27, 1984 admission. KUB found that the pubic symphysis above a 13 × 8cm opaque opaque stone shadow. B ultrasound showed that the bladder area of ?? 8cm diameter semicircular hyperechoic band, drag the rear of the broad sound. Urine found squamous cell carcinoma and adenocarcinoma two kinds of cancer cells. Clinical diagnosis of bladder huge stones with bladder cancer. In the same year in December surgery, removed from the bladder a 13 × 8 × 6cm giant stones, gray-yellow, hard; weight 450g, removal of stones found after the ureteral crest with a diameter of 2cm bulge of the tumor. The right side of the bladder neck is an unclear ulcer with jelly-like secretions. Disease examination: microscopic bladder