Fekak H, Rabu R, Joual A, Bennani S, Moufid K, Sarf S, Debragh A, el Mimu M, Benjelloun S
Service d'urologie, CHU Ibn Rochd, Casablanca, Maroc.
Ann Urol (Paris). 2002 Jan;36(1):53-7. doi: 10.1016/s0003-4401(01)00072-9.
The bladder tumours in vesical diverticula is rare, and the poor prognosis, because it was often with early invasion. We reported three cases of bladder tumours in vesical diverticula, with delay of diagnosis two, eight and twelve months respectively. The radiology exploration suspected the diagnosis and the histology biopsy confirmed a diagnosis of primary transitional cell carcinoma in two cases: PTa GI and T2 GII, and in an other case it was a invasive epidermoid carcinoma. The first patient was dead by urethral resection of the bladder tumour. The second required a cytoprototectomy and the last patient. The treatment consisted of radiotherapy and chemotherapy. We insisted of the particularity diagnosis, histology and therapeutic for bladder tumour in vesical diverticula and the early diagnosis in order to have a good prognosis.
膀胱憩室内的膀胱肿瘤罕见,预后较差,因为其常伴有早期浸润。我们报告了3例膀胱憩室内的膀胱肿瘤病例,诊断延误时间分别为2个月、8个月和12个月。影像学检查怀疑诊断,组织学活检在2例中确诊为原发性移行细胞癌:PTa GⅠ和T2 GⅡ,另一例为浸润性表皮样癌。首例患者因膀胱肿瘤经尿道切除术后死亡。第二例需要进行膀胱部分切除术,最后一例患者。治疗包括放疗和化疗。我们强调了膀胱憩室内膀胱肿瘤诊断、组织学及治疗的特殊性以及早期诊断以获得良好预后的重要性。