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[结核性膀胱扩大回肠膀胱成形术后的癌性退变]

[Carcinomatous degeneration on augmentation ileocystoplasty for tuberculous bladder].

作者信息

Moudouni S M, Ennia I, Turlin B, Patard J J, Guille F, Lobel B

机构信息

Service d'urologie B hôpital Avicenne, CHU Ibn Sina Rabat, Maroc.

出版信息

Ann Urol (Paris). 2003 Feb;37(1):33-5. doi: 10.1016/s0003-4401(02)00005-0.

Abstract

The development of cancer on the ileal graft after augmentation ileocystoplasty for benign bladder disease is a little known complication. The authors report a case of squamous cell carcinoma in the ileal bladder occurring 37 years after augmentation ileocystoplasty for tuberculous bladder, in a 68-year old patient. Carcinomatous degeneration is usually occurs more than ten years after cystoplasty. Patients treated by this operation must be submitted to annual cystoscopy combined with guided biopsies at the slightest doubt. This surveillance should be started between the 5th and the 10th postoperative year.

摘要

良性膀胱疾病行回肠扩大膀胱成形术后回肠移植物发生癌症是一种鲜为人知的并发症。作者报告了一例68岁患者,因结核性膀胱行回肠扩大膀胱成形术37年后发生回肠膀胱鳞状细胞癌的病例。癌变性通常发生在膀胱成形术后十年以上。接受该手术治疗的患者,一旦有丝毫疑问,都必须每年进行膀胱镜检查并结合引导活检。这种监测应在术后第5至10年开始。

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