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原发性膀胱憩室癌罕见,本文报告3例。例1,男,69岁,排尿不尽感2年,无痛性血尿及尿频1年,于1979年8月20日入院。曾以前列腺肥大治疗未见效。入院前10天行膀胱镜检查发现右侧输尿管口上方2cm处有直径3cm憩室口,内有肿物突出为2×2×1.5cm大小。诊断:原发性膀胱憩室癌?行膀胱憩室及肿瘤切除术,术中证实右输尿管口上方2cm处有3×3×2.5cm憩室内有肿物2×2×1.5cm,浸润憩室全层,肿物表面坏死。病理报告:膀胱憩室癌(移行上皮细胞癌+腺癌Ⅱ—Ⅲ级)。随访1年,死于肺转移。例2,男,67岁,间歇性、无痛性血尿1年于
Primary bladder diverticulosis is rare, this article reports 3 cases. Example 1, male, 69 years old, urinary exhaustive 2 years, painless hematuria and frequent urination 1 year, was admitted on August 20, 1979. Prostatic hypertrophy treatment has not worked. 10 days before admission line cystoscopy revealed that the right ureteral orifice 2cm above the diameter of 3cm diverticulum port, there are prominent within the tumor size of 2 × 2 × 1.5cm. Diagnosis: primary bladder diverticulitis? Bladder diverticulum and tumor resection, surgery confirmed 2cm above the right ureteral orifice 3 × 3 × 2.5cm diverticulum mass 2 × 2 × 1.5cm, infiltration of diverticulitis full-thickness, Necrosis of the surface of the tumor. Pathology report: bladder diverticulitis (transitional cell carcinoma + adenocarcinoma Ⅱ-Ⅲ grade). One year follow-up, died of lung metastasis. Example 2, male, 67 years old, intermittent, painless hematuria 1 year