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目的:总结膀胱癌肉瘤的临床特征及病理特点。方法:报告2例膀胱癌肉瘤病例资料。2例均为男性,年龄分别为67、83岁。均以间歇性血尿或伴尿痛入院,影像学及膀胱镜检查诊断为膀胱肿瘤。结果:2例病理检查发现同时存在癌与肉瘤成分。1例行全膀胱切除回肠膀胱术,于术后3个月死于肿瘤全身转移。1例行膀胱部分切除术,随访16个月,无肿瘤转移及复发,仍健在。结论:膀胱癌肉瘤恶性程度高,浸润性强,易早期转移。诊断依赖病理学检查和免疫组化。早期发现及根治性切除,可能延长患者的生存期。
Objective: To summarize the clinical features and pathological features of bladder carcinoma. Methods: Two cases of bladder cancer sarcoma were reported. 2 cases were male, the age was 67,83 years old. All patients were admitted to hospital with intermittent hematuria or dysuria. Imaging and cystoscopy were diagnosed as bladder cancer. Results: Two cases of cancer and sarcoma were found in pathological examination. A total cystectomy ileal bladder surgery, died 3 months after the tumor metastasis. A routine partial cyst excision, followed up for 16 months, no tumor metastasis and recurrence, still alive. Conclusion: Bladder cancer is highly malignant, invasive and easy to metastasize. Diagnosis depends on pathological examination and immunohistochemistry. Early detection and radical resection, may extend the patient’s survival.