Savvas V, Presse S, Kuntz R M
Institut für Pathologie, Auguste-Viktoria-Krankenhaus, Berlin.
Verh Dtsch Ges Pathol. 1993;77:266-70.
A report of 64 cystectomy specimens is presented with emphasis on the macroscopic tumor pattern of the urinary bladder carcinoma. From gross observations bladder cancer gives a wide spectrum: unifocal or multiple papillary, mostly superficial carcinomas, nodular tumors more or less deeply invading the bladder muscle, flat carcinomas, widespread diffuse carcinomas with infiltration of the whole bladder wall, flat ulcers with or without tumor rest after TUR, and tumors almost filling the whole bladder and destroying the bladder wall; miscellaneous tumours were also observed. In 3 cases bladder cancer arose from the lumen of one or more diverticula. This study describes the features presented at the time that patients underwent radical cystectomy in early as well as in advanced stages.
本文报告了64例膀胱切除标本,重点关注膀胱癌的大体肿瘤形态。从大体观察来看,膀胱癌表现形式多样:单灶性或多灶性乳头状,大多为浅表性癌;结节状肿瘤或多或少深度侵犯膀胱肌肉;扁平癌;广泛弥漫性癌伴整个膀胱壁浸润;经尿道电切术后有或无肿瘤残留的扁平溃疡;以及几乎占据整个膀胱并破坏膀胱壁的肿瘤;还观察到了其他各类肿瘤。3例膀胱癌起源于一个或多个憩室的腔隙。本研究描述了患者在早期和晚期接受根治性膀胱切除术时所呈现的特征。