Phan C N, Wilkinson M, Cohen M B, Dunn S, Carroll P
Department of Urology, University of California School of Medicine, San Francisco.
Urology. 1994 Nov;44(5):771-4. doi: 10.1016/s0090-4295(94)80228-9.
A 54-year-old woman presented with a large bladder mass and left hydroureteronephrosis. At radical cystectomy (with ileal loop urinary diversion), an unresectable left obturator mass was found. Combination chemotherapy postoperatively resulted in significant shrinkage, and she underwent excision of the residual mass. No residual cancer was seen. The patient remains free of disease 56 months after cystectomy and 51 months after resection of the residual mass. Primary osteogenic sarcoma of the urinary bladder may respond to combination chemotherapy and surgery. All patients found to have advanced disease should be considered for this approach.
一名54岁女性因膀胱巨大肿块及左肾输尿管积水就诊。在根治性膀胱切除术（回肠袢尿流改道术）中，发现一个无法切除的左闭孔肿块。术后联合化疗使肿块显著缩小，随后她接受了残余肿块切除术。未见残留癌。该患者在膀胱切除术后56个月以及残余肿块切除术后51个月仍无疾病复发。原发性膀胱骨肉瘤可能对联合化疗和手术有反应。所有被发现患有晚期疾病的患者都应考虑采用这种治疗方法。
