膀胱憩室：病因、诊断、肿瘤发生及治疗。74例分析。

Vesical diverticula: etiology, diagnosis, tumorigenesis, and treatment. Analysis of 74 cases.

作者信息

Melekos M D, Asbach H W, Barbalias G A

机构信息

Department of Urology, Patras University, School of Medicine, Greece.

出版信息

Urology. 1987 Nov;30(5):453-7. doi: 10.1016/0090-4295(87)90378-5.

DOI:10.1016/0090-4295(87)90378-5

PMID:3118548

Abstract

A thirteen-year review of bladder diverticula was undertaken and 74 cases were identified. In 8 patients primary neoplasms arose in the diverticula, and their treatment included diverticulectomy or partial cystectomy with or without postoperative irradiation, irradiation only, and transurethral resection of the tumor combined with fulguration of the diverticular wall and postoperative bladder instillations with doxorubicin or thiotepa solutions. Early diagnosis with additional visualization of the interior of vesical diverticulum is mandatory, since carcinoma arising in it has a poor prognosis.

摘要

对膀胱憩室进行了为期13年的回顾性研究，共确定了74例病例。8例患者憩室内发生原发性肿瘤，其治疗方法包括憩室切除术或部分膀胱切除术，术后可辅以或不辅以放疗、单纯放疗、经尿道肿瘤切除术联合憩室壁电灼术以及术后膀胱内灌注阿霉素或噻替派溶液。必须尽早诊断并对膀胱憩室内腔进行额外的可视化检查，因为发生于其中的癌预后较差。