膀胱癌合并膀胱壁囊肿1例报告

A case report of bladder cancer combined with cyst of the bladder wall

膀胱壁囊肿临床罕见,与膀胱癌同时发生更罕见,本文报道1例。患者因尿频、肉眼血尿人院,术前B超、CT检查发现膀胱左侧壁和右前壁各一肿瘤。膀胱镜检查示膀胱左侧壁菜花样肿物,膀胱右前壁隆起肿物;对左侧壁肿物取组织活检,结果示低级别尿路上皮癌。行经尿道膀胱肿瘤等离子刻除术+耻骨上小切口膀胱部分切除术。术后病理诊断为膀胱左侧壁高级别尿路上皮癌并右侧壁囊肿。术后随访15个月,未见肿瘤复发及转移。

Bladder wall cysts are clinically rare,and even rarer when occurring simultaneously with bladder cancer.In this paper,we reported a patient with bladder cancer combined with a bladder wall cyst,who was admitted due to the urinary frequency and gross hematuria.Preoperative ultrasound and CT examination revealed a tumor in the left and right anterior wall of the bladder respectively.The cystoscopy showed low-grade uroepithelial carcinoma of the left wall of the bladder and occupancy of the right anterior wall of the bladder.Transurethral plasma enucleation of bladder tumor and suprapubic small incision partial cystectomy was performed.Postoperative pathology confirmed high-grade uroepithelial carcinoma of the left wall of the bladder and cyst of the right wall.There was no recurrence or metastasis 15 months after surgery.