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患者,男,72岁。因膀胱肿瘤曾于1985年11月在我院行膀胱部分切除术,病理报告为移行细胞癌(Ⅱ级),侵犯肌层,当时肾IVP与胸片检查均正常。1987年,膀胱肿瘤复发,行TURST治疗,并行放射治疗50Gy。1988年膀胱内灌注噻(口替)哌50mg/周×10。1989年3月,膀胱内灌注卡介苗70mg/周×6.此后70mg/月×6同年11月,患者因大量血尿再次入院。膀胱镜检正常,IVP左肾未显影。手术切除左肾。病理报告为左肾结核。讨论近10余年来,许多国内外学者采用膀胱内灌注卡介苗治疗浅表性膀胱肿瘤,降低膀胱癌术
Patient, male, 72 years old. Due to bladder tumor in November 1985 in our hospital bladder partial resection, the pathological report of transitional cell carcinoma (Ⅱ grade), invasion of muscle, renal IVP and chest X-ray examination were normal. In 1987, bladder tumor recurrence, line TURST treatment, parallel radiation therapy 50Gy. In 1988 intravesical instillation of thiophene (oral) piperazine 50mg / week × 10. 1989 March, intravesical instillation of BCG 70mg / week × 6. After 70mg / month × 6 the same year in November, patients with massive hematuria again hospitalized. Cystoscopy was normal, IVP left kidney was not developed. Surgical removal of the left kidney. Pathological report for the left renal tuberculosis. Discussion Nearly 10 years, many domestic and foreign scholars using intravesical instillation of BCG in the treatment of superficial bladder tumors, reduce bladder cancer surgery