Tanaka S, Yasumoto R, Morikawa Y, Nakatani T, Mackawa M
Department of Urology, Osaka Municipal Kita Citizen's Hospital.
Hinyokika Kiyo. 1989 May;35(5):881-3.
A case of primary adenocarcinoma of the bladder is reported. The patient was a 83-year-old man admitted to our hospital in February, 1988 with the complaint of gross hematuria that had lasted for about 1 month. Cystoscopic examination showed a solid tumor in the lateral wall of the bladder with a bladder stone. Papillary adenocarcinoma was found in the biopsy specimen from the bladder tumor. The gastrointestinal, respiratory and genitourinary tracts were examined but no other tumor lesions could be found. Therefore, primary adenocarcinoma of the bladder with a bladder stone was suspected. Transurethral resection of the bladder tumor and cystolithotripsy were performed; histological study showed that the tumor was limited to submucosa, that is to pTlb. The literature is reviewed.
报告一例原发性膀胱腺癌。患者为83岁男性,于1988年2月因肉眼血尿持续约1个月入住我院。膀胱镜检查显示膀胱侧壁有一实性肿瘤伴膀胱结石。膀胱肿瘤活检标本中发现乳头状腺癌。检查了胃肠道、呼吸道和泌尿生殖道,但未发现其他肿瘤病变。因此,怀疑为原发性膀胱腺癌伴膀胱结石。行经尿道膀胱肿瘤切除术及膀胱碎石术;组织学研究表明肿瘤局限于黏膜下层,即pT1b。并对文献进行了综述。