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目的:分析肠膀胱肿瘤的发病原因和诊治。方法:报告1例膀胱癌根治、直肠代膀胱、结肠造口术后8年肠膀胱发生绒毛状腺瘤伴高级别上皮瘤样变的临床资料,并复习相关文献予以讨论。结果:肠膀胱肿瘤多发生在肠膀胱术后10年,临床表现常为肉眼血尿,肿瘤多生长在输尿管-肠吻合缘,良性肿瘤行肿瘤电切术,预后良好。结论:肠膀胱肿瘤的发展过程中,肠膀胱经历了形态学和分子学的改变,较早诊断可获得较好的疗效,对肠膀胱术后的患者临床上应严密随访。
Objective: To analyze the etiology and diagnosis and treatment of intestinal cancer. Methods: The clinical data of 1 case of bladder transitional cell carcinoma of villous adenoma accompanied with high grade epithelioma in 8 cases of radical mastectomy of bladder, rectum on behalf of the bladder and colostomy were reported, and the related literatures were reviewed. Results: Intestinal bladder cancer occurred in 10 years after intestinal and bladder surgery. The clinical manifestations were gross hematuria. The tumors mostly grew in ureter - intestinal anastomosis and benign tumors were resected. The prognosis was good. Conclusions: During the development of intestinal cancer, the intestinal and bladder undergoes morphological and molecular changes. Earlier diagnosis can achieve better curative effect and follow-up should be followed clinically in patients with intestinal and bladder surgery.