Department of Urology, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa, Japan.
Int J Urol. 2011 Dec;18(12):851-3. doi: 10.1111/j.1442-2042.2011.02880.x. Epub 2011 Oct 17.
We report a case of high-grade invasive urothelial carcinoma with plasmacytoid differentiation of the urinary bladder. A 75-year-old woman was referred to our hospital because of macroscopic hematuria. Cystoscopy detected a solid pedunculated bladder tumor, and a transurethral resection of the bladder tumor (TUR-Bt) and the image findings showed pT1N0M0 bladder cancer. The histopathological examination revealed the coexistence of a large component of high-grade invasive urothelial carcinoma and a small component of plasmacytoid carcinoma. Following the TUR-Bt, external beam radiotherapy and chemotherapy with gemcitabine and nedaplatin were carried out. The bladder tumor has not recurred for 2 years after the TUR-Bt.
我们报告一例膀胱高级别浸润性尿路上皮癌伴浆母细胞分化。一名 75 岁女性因肉眼血尿被转至我院。膀胱镜检查发现一实性有蒂膀胱肿瘤,行经尿道膀胱肿瘤切除术(TUR-Bt),影像学检查显示膀胱癌 pT1N0M0 期。组织病理学检查显示存在大比例的高级别浸润性尿路上皮癌和小比例的浆母细胞瘤。TUR-Bt 后,行吉西他滨和顺铂化疗联合外照射放疗。TUR-Bt 后 2 年内膀胱肿瘤未复发。