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前列腺切除术中意外诊断出的膀胱肿瘤。

Tumours of the urinary bladder accidentally diagnosed during prostatectomy.

作者信息

Krzeski T, Witeska A, Zachwiej J

出版信息

Int Urol Nephrol. 1978;10(3):225-7. doi: 10.1007/BF02082030.

DOI:10.1007/BF02082030
PMID:80389
Abstract

By analysing 1472 prostatectomies, the authors have stated a coexistence of tumour of the bladder in 31 cases (2.11%). In 11 patients (0.75%) the tumours were accidentally diagnosed, as late as during the operation itself. Eight patients were operated transvesically. The tumour was diagnosed immediately after opening the bladder. The tumour was removed first and then the adenoma. Three patients were operated on according to Millin's method, their tumours having been detected only after enucleation of adenoma of the prostate. In five cases cancer of the bladder was diagnosed and in six papillary tumour of the bladder was found. The bladder cancers were treated by partial excision of the bladder or by deep electrocoagulation. The authors maintain that the small percentage of accidentally diagnosed tumours is no indication for a routine performance of cystoscopy in every case of adenoma of the prostate before intended prostatectomy.

摘要

通过对1472例前列腺切除术进行分析,作者指出有31例(2.11%)存在膀胱肿瘤。11例患者(0.75%)的肿瘤是在手术过程中才意外确诊的。8例患者经膀胱手术。打开膀胱后立即诊断出肿瘤。先切除肿瘤,然后切除腺瘤。3例患者按照米林氏法手术,他们的肿瘤是在摘除前列腺腺瘤后才被发现的。5例诊断为膀胱癌,6例发现为膀胱乳头状瘤。膀胱癌采用膀胱部分切除术或深度电凝治疗。作者认为,意外诊断出的肿瘤比例较小并不意味着在计划进行前列腺切除术之前,对每一例前列腺腺瘤患者都要常规进行膀胱镜检查。

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1
Tumours of the urinary bladder accidentally diagnosed during prostatectomy.前列腺切除术中意外诊断出的膀胱肿瘤。
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2
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引用本文的文献

1
Pre-prostatectomy intravenous urography--is it a must?前列腺切除术前静脉尿路造影——是必需的吗?
Int Urol Nephrol. 1986;18(1):65-9. doi: 10.1007/BF02082650.

本文引用的文献

1
Tumors of the bladder: a multifaceted problem.膀胱肿瘤:一个多方面的问题。
J Urol. 1974 Oct;112(4):467-78. doi: 10.1016/s0022-5347(17)59764-5.