摘要
目的探讨前列腺癌合并膀胱癌的诊断和治疗。方法总结156例前列腺腺癌患者资料,对其中4例合并膀胱移行细胞癌的患者进行分析。结果4例前列腺腺癌患者均接受B超、尿镜检和膀胱镜检查,发现同时合并膀胱移行细胞癌。其中2例接受经尿道膀胱肿瘤电切术和双侧睾丸切除术;1例接受经尿道膀胱肿瘤电切术和药物去势;1例接受经尿道膀胱肿瘤电切术和耻骨后前列腺根治切除术。术后均接受膀胱灌注治疗。随访12～36个月,除1例膀胱癌复发接受再次电切手术外,其余均无肿瘤复发。结论有血尿、排尿刺激症状和长期吸烟史的前列腺癌患者以及准备行前列腺癌根治手术的患者应进行膀胱镜检查以除外合并膀胱肿瘤。
Objective To investigate the diagnosis and treatment of simultaneous presentation of prostate cancer and carcinoma of bladder. Methods In 156 patients with prostate cancer, 4 of them who suffered from transitional cell carcinoma（TCC） of bladder simultaneously were analyzed. Results These 4 patients of prostate cancer coexisting with TCC of bladder were diagnosed by ultrasound, urinalysis and cystoscopy. Two of them were performed transurethral resection of bladder cancer （TURB） and bilateral orchiectomy, 1 received TURB and pharmaceutical castration, I received TURB and radical prostatectomy. In travesical instilling therapy were performed for all postoperatively. Followed up for 12-36 months, only one patient recurred with TCC of bladder and received TURP again. Conclusion Patients of prostate cancer with hematuria, irritative voiding symptom, prostatectomy should be conducted cystoscopy to exclude coexisting TCC of bladder.
出处
《中国男科学杂志》
CAS
CSCD
2008年第1期34-35,41,共3页
Chinese Journal of Andrology
关键词
前列腺肿瘤
膀胱肿瘤
膀胱镜检查
prostatic neoplasms
bladder neoplasms
cancer
cystoscopy
