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目的探讨膀胱内翻型乳头状瘤的临床特点及病理学特征。方法分析69例膀胱内翻型乳头状瘤病人的临床资料包括病因、病理学特征、临床表现、影像学检查、治疗方式及预后状况。结果 69例病人中大多数因血尿(59.4%)就诊,肿瘤最常发生于膀胱颈及三角区(49.3%)。病人术前均接受影像学检查(B超、CT、MRI、膀胱镜),但最终依靠病理检查确诊。全部病人均接受经尿道膀胱肿瘤电切术。结论膀胱内翻型乳头状瘤是一种少见的膀胱良性肿瘤,术前诊断困难,主要依靠术后病理检查确诊。治疗首选经尿道膀胱肿瘤电切术,术后肿瘤复发及进展可能性小,预后良好,但需术后4~5年内随访监测。
Objective To investigate the clinical features and pathological features of vesical inverted papilloma. Methods The clinical data of 69 cases of patients with vesicillocutaneous papilloma were analyzed, including etiology, pathology, clinical manifestations, imaging examination, treatment and prognosis. Results The majority of 69 patients were diagnosed with hematuria (59.4%). The tumors most commonly occurred in the bladder neck and trigone (49.3%). Patients underwent preoperative imaging examination (B ultrasound, CT, MRI, cystoscopy), but ultimately rely on pathological examination confirmed. All patients underwent transurethral resection of the bladder tumor. Conclusion Intravesopian inverted papilloma is a rare benign tumor of the bladder. It is difficult to diagnose preoperatively and mainly depends on postoperative pathological examination. Treatment of transurethral resection of bladder tumor resection, postoperative tumor recurrence and progress is less likely, the prognosis is good, but need to be followed up for 4 to 5 years after monitoring.