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目的 探讨膀胱中肾腺癌的临床病理特征和诊治方法。 方法 总结 3例病人资料 ,结合文献复习讨论。 结果 3例均有无痛性肉眼血尿症状 ,膀胱镜检发现新生物。病理学检查可见肿瘤由乳头状和腺样结构组成 ,有的细胞似靴钉样 ,以透明细胞为主。细胞异型性明显 ,核分裂相多见。 1例行全膀胱切除、输尿管乙状结肠吻合术 ,1年后阴道壁出现肿瘤转移。 1例行膀胱肿瘤电切术 ,术后 3个月未见肿瘤复发。 1例病人拒绝手术。 结论 膀胱中肾腺癌临床罕见 ,诊断主要依靠病理学检查 ,此病预后较差 ,应作全膀胱切除术。
Objective To investigate the clinicopathological characteristics and diagnosis and treatment of renal adenocarcinoma in bladder. Methods The data of 3 patients were summarized and reviewed in the literature. Results All 3 cases had painless gross hematuria symptoms and cystoscopy found new creatures. Pathological examination showed that the tumor by the papillary and adenoid-like structure, and some like the boot-like nail-like cells to transparent cells. Cell atypia obvious mitotic more common. A total cystectomy, ureteral sigmoid anastomosis, 1 year after the tumor wall vaginal metastasis. 1 cases of bladder tumor resection surgery, no recurrence of tumor 3 months after surgery. One patient refused surgery. Conclusion The clinical diagnosis of bladder adenocarcinoma is rare. The diagnosis mainly depends on the pathological examination. The prognosis of this disease is poor and should be treated as total cystectomy.