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膀胱癌肉瘤罕见,仅见个案报告,国内外报告迄今约为50例。现报告1例如下。男性,78岁。疼痛性全程血尿1个月,伴明显膀胱刺激症状,夜尿20余次。于1990年3月入院。检查轻度贫血貌,全身浅表淋巴结未肿大。肝肾功能正常,胸片无异常。排泄性尿路造影示右肾显影正常;左肾盂积水,肿瘤位于膀胱左侧壁6×7cm累及输尿管口处。B超示膀胱左后壁可见6.2×7.2cm强回声反射区,边界清,已累及肌层。因患者家属拒绝做根治性膀胱全切除术,遂行膀胱部分切除。术中见膀胱左侧壁菜花状肿瘤约7×6×6cm,有一广基蒂,已侵及膀胱颈部。病理报告为膀胱癌肉瘤(由移行上皮细胞癌与横纹肌肉瘤混合组成)。免疫组化检查:癌细胞角蛋白和上皮膜抗原阳性。肉瘤成分则为阴性,网
Bladder cancer sarcoma rare, only case reports, at home and abroad so far reported about 50 cases. One report is as follows. Male, 78 years old. Painful hematuria throughout the month, with significant bladder irritation, nocturia more than 20 times. In March 1990 admitted. Check the appearance of mild anemia, systemic superficial lymph nodes are not enlarged. Liver and kidney function is normal, no abnormal chest X-ray. Renal urinary imaging showed normal renal development; left hydronephrosis, the tumor is located in the left side of the bladder 6 × 7cm involving the ureter mouth. B ultrasound shows the left posterior wall of the bladder can be seen 6.2 × 7.2cm strong echo reflex zone, clear boundary, has involved the muscle. Due to the patient’s family refused to do radical cystectomy, the line partial bladder resection. Surgery, see the left side of the bladder cauliflower tumor about 7 × 6 × 6cm, a Guangdi, has invading the bladder neck. Pathological report for bladder cancer sarcoma (by transitional cell carcinoma and rhabdomyosarcoma mixture). Immunohistochemistry: Cancer cytokeratin and epithelial membrane antigen positive. Sarcoma components were negative, the net