Takayama H, Arai Y, Meguro N, Maeda O, Saiki S, Kinouchi T, Kuroda M, Usami M, Kotake T
Department of Urology, Osaka Medical Center for Cancer and Cardiovascular Diseases.
Nihon Hinyokika Gakkai Zasshi. 1997 Aug;88(8):762-5. doi: 10.5980/jpnjurol1989.88.762.
A 74-year-old man was admitted to our hospital. Diagnosis of invasive bladder cancer was made and a total cystectomy was performed on January, 30, 1980. Histological examination showed transitional cell carcinoma, grade 2, pT1 is N0M0. After 16 years, when he suffered left femur, he had right inguinal lymphnode swelling. On the biopsy of the inguinal mass, histology was transitional cell carcinoma. The urethral washing cytology was positive. Lung CT scan dem onstrated multiple lesions. He was diagnosed of the urethral recurrence, right inguinal lymphnode metastasis and lung metastasis of bladder cancer. This case is the 5th case of urethral recurrence of bladder cancer following cystectomy in our hospital.
一名74岁男性入住我院。诊断为浸润性膀胱癌，并于1980年1月30日行全膀胱切除术。组织学检查显示为移行细胞癌，2级，pT1N0M0。16年后，他左侧股骨受伤时，右侧腹股沟淋巴结肿大。对腹股沟肿块进行活检，组织学检查为移行细胞癌。尿道冲洗细胞学检查呈阳性。肺部CT扫描显示有多处病变。他被诊断为膀胱癌尿道复发、右侧腹股沟淋巴结转移和肺转移。该病例是我院全膀胱切除术后膀胱癌尿道复发的第5例。
