Department of Urology, Nepal Mediciti Hospital, Bhainsepati, Lalitpur Nepal.
Department of Pathology, Nepal Mediciti Hospital, Bhainsepati, Lalitpur, Nepal.
JNMA J Nepal Med Assoc. 2021 Oct 15;59(242):1069-1071. doi: 10.31729/jnma.6228.
Herniation of bladder mucosa through the bladder wall muscle layer is known as bladder diverticulum. The incidence of bladder diverticulum is 1.7. About 0.8 to 10% of the urinary bladder diverticulum develops carcinoma. Transitional cell carcinoma is the most common. Painless hematuria is the most common clinical presentation. Different imaging modalities along with cystoscopy are the key to accurate diagnosis and staging. High grade multifocal urothelial carcinoma in the bladder diverticulum is better managed by radical cystectomy and standard pelvic lymph node dissection with an ileal conduit. Here we report a case of a 66-year old gentleman of high grade multifocal urothelial carcinoma in bladder diverticulum managed with radical cystectomy and standard pelvic lymph node dissection with an ileal conduit. Such cases have been addressed adequately in the literature, but we did not find such cases from our country.
膀胱黏膜通过膀胱壁肌肉层疝出称为膀胱憩室。膀胱憩室的发病率为 1.7%。约 0.8%~10%的膀胱憩室会发展为膀胱癌。其中移行细胞癌最为常见。最常见的临床表现为无痛性血尿。不同的影像学检查方法结合膀胱镜检查是准确诊断和分期的关键。膀胱憩室内高级别多灶性尿路上皮癌最好通过根治性膀胱切除术和标准盆腔淋巴结清扫术联合回肠造口术进行治疗。本文报道了 1 例 66 岁男性患者，诊断为膀胱憩室内高级别多灶性尿路上皮癌，行根治性膀胱切除术和标准盆腔淋巴结清扫术联合回肠造口术。此类病例在文献中已有充分报道，但在我国尚未发现此类病例。
