膀胱非上皮肿瘤的诊断、治疗（附30例报告）

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1、膀胱非上皮肿瘤的诊断、治疗(附30例报告)【摘要】目的总结膀胱非上皮肿瘤的诊治经验。方法回顾性分析1998-2013年收治的30例膀胱非上皮肿瘤临床资料。男11例，女19例。年龄6—77岁，主要临床表现为：尿频、排尿困难、肉眼血尿、盆腔肿块、排尿晕厥等。结果3例行经尿道膀胱肿瘤电切术，21例行膀胱部分切除术，2例行全膀胱切除术，无法手术4例，恶性肿瘤术后辅助化疗或放疗。随访10个月〜15年，良性肿瘤均无复发，恶性肿瘤屮恶性嗜珞细胞瘤1例、淋巴瘤3例随访1~2年至今仍存活，神经内分泌癌1例、癌肉瘤2

2、例、小细胞恶性肿瘤1例、平滑肌肉瘤1例，随访2〜6个月内复发、死亡。结论膀胱非尿路上皮肿瘤临床少见，B超引导下深部活检可提高诊断率，良性肿瘤预后较好，可行膀胱部分切除术，应完整切除，恶性肿瘤应争取全膀胱切除，结合病理特点辅助化疗或放疗，可提高疗效。【关键词】膀胱肿瘤；非上皮肿瘤Diagnosisandtreatmentofnon-epithelialtissuetumorinbladder(Reportof30cases)LIUChun,HUAGNShi-qing,XUQiong・Depatmen

3、tofUrology,FujianProvincialHospital,FujianMedicalUniversity,Fuzhou350001,China[Abstract1ObjectiveTosummarizetheexperienceinthediagnosisandtreatmentofnon-epithelialtissuetumorinbladder.MethodsTheclinicaldataof30patientswithnon-epithelialtissuetumorinbl

4、adderfrom1998〜2013inourhospitalwereretrospectivelyanalyed.11malesand19females,agedbetween6~77years.Urinaryfrequency，dysuria,grosshematuria,pelvicmassandfaintingduringvoidingweresystomsofnon-epithelialtissuetumorinbladder.Results3casesweretreatedwithtr

5、ansurethralbladdertumorresect(TUR—BT),21casesweretreatedwithpartialcystectomy,2casesunderwentradicalcystectomy,and4patient，stumorwereunresectable.Adjuvantradiotherapyandchemotherapywereperformedinmalignanttumorpatients・Follow-uptimewas3monthsto15years

6、.Norecurreneewasfoundinbenigntumorpatients.3patientswithbladdermalignantlymphomaand1withmalignantpheochromocytomasurvivedfor1to2yearsnow.5patientswithbladdermalignanttumorsdiedin2to6monthsafterdiagnosis・ConclusionNon-epithelialtissuetumorinbladderisra

7、rewithcomplicatedpathologictypes.Deep-sitebiopsycanimprovethediagnosticrate.Partialcystectomyisthemaintherapyforbenigntumors,andit'sprognosisisgood・Radicalcystectomyisthemaintherapyformaliganttumors,andcombinedwithchemotherapyandradiotherapycouldimpro

8、vetheefficacyofoperationaccordingtothepathologicalfeatures.【Keywords】Bladderneoplasms；Non-epithelialtumorsneoplasms膀胱非上皮性肿瘤临床上少见，福建医科大学省立临床学院自1998-2013年间共收治30例，现总结报告如下。1资料与方法1.1一般资料本组30例患者，男11例，女19例，年龄6〜77岁，平均年龄48.5岁。1.2临床表现血尿9例，B超检查发现膀胱肿物14例，