Alvarez Kindelan J, Alameda Aragoneses V, Carmona Campos E, Anglada Curado F, Prieto Castro R, Regueiro López J C, López Rubio F, Requena Tapia M J
Servicio de Urología, Hospital Regional Universitario Reina Sofia, Córdoba.
Actas Urol Esp. 1999 Jan;23(1):60-3.
In our setting, the association between bilharziasis and bladder cancer is uncommon. However, the presence of recurrent haematuria in a patient from an endemic area of bilharziasis (east of Africa and Middle East), is highly suspicious of this disease. Lack of an adequate treatment by using anthelminthic drugs during the acute phase of disease, might lead to the onset of chronic bladder lesions and, on occasion, bladder cancer, of the epidermoid type in the majority of cases. Because of the high mortality and aggressivity of this type of cancer, an early diagnosis and appropriate treatment of acute lesions is mandatory. We report a 40-year-old black male from Senegal, presenting chronic bladder schistosomiasis and infiltrative epidermoid carcinoma of the bladder, diagnosed and treated in our department by palliative cystectomy.
在我们的医疗环境中，血吸虫病与膀胱癌之间的关联并不常见。然而，来自血吸虫病流行地区（非洲东部和中东）的患者出现反复血尿，高度怀疑患有此病。在疾病急性期未使用驱虫药物进行充分治疗，可能导致慢性膀胱病变，有时还会引发膀胱癌，大多数情况下为表皮样癌。由于这种类型癌症的高死亡率和侵袭性，对急性病变进行早期诊断和适当治疗至关重要。我们报告一例来自塞内加尔的40岁黑人男性，患有慢性膀胱血吸虫病和浸润性膀胱表皮样癌，在我们科室接受了姑息性膀胱切除术进行诊断和治疗。
