Dreffke F, vd Linde J, Babiel H
Z Urol Nephrol. 1987 Feb;80(2):75-80.
The signet-ring cell carcinoma of the urinary bladder as a rare histopathological variant of the adenocarcinoma is demonstrated with the help of clinical, cytological and histological findings of a case (29-year-old male) and it is referred to etiopathogenetic as well as clinical particularities which render possible a delimitation from the carcinoma of the epithelium of the urinary tract. Half of all 28 cases published up to now issued from the remaining parts of the urachus, particularly when localized in the parietal region. The from the first deeply infiltrating growth in the wall of the urinary bladder demands larger surgical interventions, in which cases the partial resection of the urinary bladder represents still the most insignificant operative procedure with clearly better prognosis. For improving the therapeutic situation and the dubious prognosis urachus carriers should be operated on in time, whereby for their recognition modern picture-producing diagnostic method such as sonography should be utilized.
膀胱印戒细胞癌作为腺癌一种罕见的组织病理学变体,通过一例(29岁男性)病例的临床、细胞学和组织学检查结果得以证实,并阐述了其病因发病机制及临床特点,这有助于与尿路上皮癌相鉴别。迄今为止发表的28例病例中,半数起源于脐尿管其余部分,尤其是位于膀胱顶部区域时。膀胱壁早期的深度浸润性生长需要更大范围的手术干预,在此类病例中,膀胱部分切除术仍是创伤最小的手术方式,预后明显更好。为改善治疗状况及不确定的预后,脐尿管携带者应及时接受手术治疗,为此应采用超声等现代影像诊断方法以明确诊断。