Kishi K, Hirota T, Matsumoto K, Kakizoe T, Murase T, Fujita J
J Urol. 1981 Jan;125(1):36-9. doi: 10.1016/s0022-5347(17)54886-7.
A clinical and pathological analysis was done on 87 autopsy cases of carcinoma of the bladder. Of the 87 cases 68 were men and 19 were women, with a mean age of 64 years. The average survival time was 39 months from the onset of symptoms to death. The patients with multiple tumors had a longer average survival time than the patients with single tumors (51 compared to 40 months), and the average survival times were definitely more favorable for men than for women (43 compared to 23 months). Histological examination revealed transitional cell carcinoma in 77 patients, squamous cell carcinoma in 4, vesical adenocarcinoma in 3 and urachal adenocarcinoma in 3. Squamous cell carcinoma and vesical adenocarcinoma seemed to be more malignant neoplasms. Metastasis was noted in 58 of 87 cases (66.7 per cent) and occurred most frequently in lymph nodes (37.9 per cent), liver (29.9 per cent), lungs (29.9 per cent) and bones (24.1 per cent). Of the 87 cases of bladder carcinoma 11 had primary carcinoma in organs other than the bladder.
对87例膀胱癌尸检病例进行了临床和病理分析。87例中，男性68例，女性19例，平均年龄64岁。从症状出现到死亡的平均生存时间为39个月。多发肿瘤患者的平均生存时间比单发肿瘤患者长（分别为51个月和40个月），男性的平均生存时间明显优于女性（分别为43个月和23个月）。组织学检查显示，77例为移行细胞癌，4例为鳞状细胞癌，3例为膀胱腺癌，3例为脐尿管腺癌。鳞状细胞癌和膀胱腺癌似乎是恶性程度更高的肿瘤。87例中有58例（66.7%）发生转移，最常见于淋巴结（37.9%）、肝脏（29.9%）、肺（29.9%）和骨骼（24.1%）。87例膀胱癌中，11例在膀胱以外的器官有原发性癌。
