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膀胱中肾样型腺癌:1例罕见病例

Adenocarcinoma of the urinary bladder, mesonephroid type: a rare case.

作者信息

Abbas Mahmoud, Kramer Mario W, Wolters Mathias, Herrman Thomas R W, Becker Jan U, Kreipe Hans-Heinrich

机构信息

Departments of Pathology Hanover Medical School, Hanover, Germany.

出版信息

Rare Tumors. 2013 Mar 1;5(1):e3. doi: 10.4081/rt.2013.e3. Print 2013 Feb 11.

Abstract

Primary adenocarcinoma of the urinary bladder is a rare disease. It occurs in 0.5-2% of all bladder cancers and is discussed as the malignant counterpart of nephrogenic adenomas. We report a 46-year-old white female presented with gross hematuria for clinical examination. Histopathology revealed pT2, Pn1, L1, G2 adenocarcinoma of the bladder and carcinoma in situ according to the TNM classification. Computed tomography scan diagnostic was unremarkable. Patients with adenocarcinoma of the urinary bladder should be treated vigorously and without time delay. Only 7 cases of adenocarcinoma in the urinary bladder (mesonephroid) have been described until now. We present a case of clear cell adenocarcinoma of the urinary bladder, mesonephroid type that early diagnosed and till now 3 months after the cystectomy without symptoms and without complications.

摘要

原发性膀胱腺癌是一种罕见疾病。它在所有膀胱癌中占0.5%-2%,被视为肾源性腺瘤的恶性对应物。我们报告一名46岁白人女性因肉眼血尿前来进行临床检查。组织病理学检查根据TNM分类显示为膀胱pT2、Pn1、L1、G2腺癌及原位癌。计算机断层扫描诊断无异常。膀胱腺癌患者应积极且及时地接受治疗。到目前为止,仅报道过7例膀胱(中肾样)腺癌病例。我们呈现一例中肾样型膀胱透明细胞腺癌病例,该病例早期确诊,膀胱切除术后3个月至今无症状且无并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a593/3682455/be616a3fa0be/rt-2013-1-e3-g001.jpg

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