Shinbo H, Nakanishi T, Suzuki K, Fujita K
Department of Urology, Kosai General Hospital.
Hinyokika Kiyo. 1999 Oct;45(10):717-20.
A case of primary malignant lymphoma of the bladder is reported. A 61-year-old female visited our outpatient clinic with the chief complaints of asymptomatic grosshematuria and was recognized as having a bladder tumor by abdominal ultrasonography. On cystoscopic examination, the tumor was non-papillary and dome-like in shape. Computed tomography revealed that the bladder tumor was invading into the bladder wall. The histopathological study of endoscopic biopsy specimen revealed malignant lymphoma. After further examinations, it was diagnosed as primary malignant lymphoma of bladder, stage IE (Ann Arbor classification). Four courses of CHOP regimen (cyclophosphamide, vincristine, doxorubicin, predonisolone) was performed and no lymphoma cell was found by re-biopsy at the primary site. No local or distant recurrence was found during the 15 months' follow up.
报告一例原发性膀胱恶性淋巴瘤。一名61岁女性因无症状肉眼血尿为主诉前来我院门诊就诊,经腹部超声检查发现膀胱肿瘤。膀胱镜检查显示,肿瘤呈非乳头状、圆顶状。计算机断层扫描显示膀胱肿瘤侵犯膀胱壁。内镜活检标本的组织病理学研究显示为恶性淋巴瘤。进一步检查后,诊断为原发性膀胱恶性淋巴瘤,IE期(Ann Arbor分期)。给予CHOP方案(环磷酰胺、长春新碱、阿霉素、泼尼松龙)四个疗程治疗,原发部位再次活检未发现淋巴瘤细胞。在15个月的随访期间未发现局部或远处复发。