膀胱憩室內移行細胞癌－病例報告

Transitional Cell Carcinoma in Vesical Diverticulum-Case Report

陳信實(Sin-Sue Chen) ； 王家槐(Jia-Hwia Wang) ； 周宜宏(Yi-Hong Chou) ； 許重權(Chung-Chuan Hsu) ； 陳坤煌(Kuen-Huang Chen) ； 張遵(Tsuen Chang)

《中華放射線醫學雜誌》 11卷1期 (1986/03) Pp. 71-74

摘要

膀胱癌發生於膀胱憩室內是泌尿系統不常見的惡性疾病。據近年來之文獻報告，膀胱憩室內之癌症發生率偏高，約在4%到10.6%之間。且憩室內之癌細胞有更易於向外侵犯或轉移的趨向，故此疾之預後差。對膀胱憩室不可掉以輕心，尤其是併有慢性下泌尿道阻塞與血尿的病患，應進一步去檢查，期能早期診斷及治療，以改善此疾之預後。放射線學檢查可用於篩選膀胱憩室內腫瘤並導引膀胱鏡做確實的檢查與切片，是相當重要。本文報告一病例，描述其臨床表現及其放射線攝影檢查。

並列摘要

Carcinoma arising from a vesical diverticulum is an uncommon malignant disease of urinary system. Such an occurrence presents an interesting association of dual vesical disease and has not been received attention until the middle of this century. Persistent lower urinary tract obstruction and chronic inflammation are causative factors for both vesical diverticulum and vesical carcinoma. The incidence of carcinoma found within the vesical diverticulum ranges from 4% to 10.6%. When the dismal results of the treatment are taken into consideration, the higher rate of malignant change in vesical diverticulum become greater clinically important. The radiographic examination including IVU, cystogram, ultrosound and CT may provide important information for further cystoscopic examination. Recently we encountered a case of transitional cell carcinoma in the vesical diverticulum. The clinical manifestation and complete radiologic examinations of this patient are presented.