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低龄组的膀胱癌并不常见,其预后是否较高龄组好长期存在争议。为了探讨年龄≤40岁的膀胱癌病人的预后有关的因素,本文对可评价的35例病人的资料进行回顾性分析。35例均经病理证实为膀胱移行细胞癌。 35例中男性26例,女性9例,年龄均超过16岁。22例(63％)在30～40岁间。就诊前最常见的症状为无痛性血尿(占80％)。其次为尿急、尿痛、胁痛和尿频。少数因镜下血尿、血性精液或慢性腿痛而就诊,个别为意外检查发现。体查时最常见的体征为双合诊触及固定的膀胱肿块(占20％)。锁骨上和腹股沟淋巴结肿大各1例,其余病例体查无异常发现。30例(86％)病人嗜烟,1例从事膀胱癌高危职业(橡皮带厂工人),无1例有膀胱癌家族史。
Bladder cancer in the younger age group is uncommon and its prognosis is more controversial than the older age group. In order to explore the prognosis of bladder cancer patients aged ≤ 40 years of age-related factors, this article evaluable data of 35 patients were retrospectively analyzed. 35 cases were pathologically confirmed as bladder transitional cell carcinoma. Among the 35 cases, there were 26 males and 9 females, both of whom were over 16 years old. Twenty-two patients (63%) were between 30 and 40 years old. The most common symptom before treatment is painless hematuria (80%). Followed by urgency, dysuria, hypochondriac pain and urinary frequency. A small number of microscopic hematuria, bloody semen or chronic leg pain and treatment, individual accidental examination found. Physical examination of the most common signs of contact with double-sided fixed bladder mass (20%). Clavicle and inguinal lymph nodes in 1 case, the remaining cases were no abnormal findings. 30 cases (86%) of patients smoke, 1 case of high-risk occupational bladder cancer (rubber band factory workers), no case of a family history of bladder cancer.