Sugishita Keiji, Mouri Gaku, Nishimura Yoko, Takeuchi Ichiro, Ishizu Akihiro, Shinohara Nobuo
Nihon Hinyokika Gakkai Zasshi. 2014 Oct;105(4):207-11. doi: 10.5980/jpnjurol.105.207.
A 70 year-old woman visited our hospital complaining of macrohematuria. She had undergone augmentation ileocystoplasty for tuberculous bladder atrophy 50 years previously. CT and cystoscopy showed tumor at the ileovesical anastomosis. She underwent a partial cystectomy. The pathological diagnosis was adenocarcinoma of the ileal segment. Recurrence was observed with rapid progression. The patient died 8 months after the operation. In Japanese literature, 43 cases of carcinoma arising in augumented bladder have been reported. Average period to the diagnosis of the cancer from the ileocystoplasty is 33 years. The period of our case was 50 years, the longest in 43 cases.
一名70岁女性因肉眼血尿前来我院就诊。她50年前因结核性膀胱萎缩接受了回肠膀胱扩大术。CT和膀胱镜检查显示回肠膀胱吻合处有肿瘤。她接受了部分膀胱切除术。病理诊断为回肠段腺癌。观察到复发且进展迅速。患者术后8个月死亡。在日本文献中，已报道43例膀胱扩大术后发生癌症的病例。从回肠膀胱扩大术到癌症诊断的平均时间为33年。我们这个病例的时间为50年，是43例中最长的。
