Prianichnikova M B
Urol Nefrol (Mosk). 1996 Nov-Dec(6):44-5.
A retrospective analysis of 160 cases of bladder tumors in females revealed that in 9 of these cases cancer in the bladder arose 1 to 22 years after radiation for uterine and breast cancer. This secondary tumor manifested in 2 females as dysuria, in one of them transition cell cancer of the bladder followed Brunno's cystitis 2 years after the cystitis diagnosis. The other patients had macrohematuria. Being a frequent complication of radiotherapy of pelvic cancer, dysuria and macrohematuria should not be considered as a sign of radiation-induced cystitis. Such patients should be carefully followed up with annual microscopic and cytological examinations of residual urine and cystoscopic control.
对160例女性膀胱肿瘤的回顾性分析显示,其中9例膀胱肿瘤是在子宫癌和乳腺癌放疗后1至22年发生的。2例女性继发肿瘤表现为排尿困难,其中1例在膀胱炎诊断2年后,膀胱移行细胞癌继发布伦诺膀胱炎。其他患者出现肉眼血尿。排尿困难和肉眼血尿作为盆腔癌放疗的常见并发症,不应被视为放射性膀胱炎的征象。对此类患者应每年进行残余尿显微镜检查和细胞学检查以及膀胱镜检查,进行仔细随访。