Nesbitt J A, Walther P J
Urology. 1986 Feb;27(2):184-6. doi: 10.1016/0090-4295(86)90384-5.
Supravesical calcification noted on conventional radiography when associated with a bladder lesion has been considered nearly pathognomonic of the uncommon lesion, urachal adenocarcinoma. As the case reported here demonstrates, stippled microscopic calcification undetected by conventional means can be demonstrated uniquely by computed tomography with great sensitivity. Because urachal adenocarcinoma may be managed in a distinctly different manner if adequate preoperative preparation is made, it is suggested that in cases of anterior bladder lesions, computed tomographic imaging can detect this typical characteristic of urachal adenocarcinoma and may thereby provide further comfirmatory diagnostic evidence helpful in surgical planning.
传统X线摄影显示膀胱上钙化且伴有膀胱病变时，几乎可诊断为罕见的脐尿管腺癌。正如本文报道的病例所示，传统方法未检测到的点状微小钙化可通过计算机断层扫描以极高的灵敏度独特显示。由于如果进行充分的术前准备，脐尿管腺癌的治疗方式可能会截然不同，因此建议在前位膀胱病变的病例中，计算机断层扫描成像可检测到脐尿管腺癌的这一典型特征，从而可能提供有助于手术规划的进一步确诊诊断证据。
