Hamada M, Morishita F, Mori Y
Gan No Rinsho. 1986 Jul;32(8):945-8.
A 67-year-old man who had undergone partial cystectomy for a bladder tumor (stage pTlb) about two years earlier, was seen with the complaint of lumbago. KUB examination revealed multiple osteoblastic lesions at the lumbar vertebrae and pelvic bone. Furthermore, additional osteoblastic lesions were detected at the thoracic vertebrae, ribs, humeral bones, femoral bones and claviculae. Osteolytic lesions also were recognized at the ribs and claviculae, although osteoblastic change was dominant. Pathologically, transitional cell carcinoma had invaded the bones, and it was suspected that they had metastasized from the bladder tumor.
一名67岁男性，约两年前因膀胱肿瘤（pTlb期）接受了部分膀胱切除术，现因腰痛前来就诊。腹部平片检查显示腰椎和骨盆骨有多个成骨病变。此外，在胸椎、肋骨、肱骨、股骨和锁骨处也发现了额外的成骨病变。尽管以成骨改变为主，但肋骨和锁骨处也发现了溶骨病变。病理检查显示移行细胞癌已侵犯骨骼，怀疑是膀胱肿瘤转移所致。
