膀胱憩室癌的诊治（附6例报告）

目的：提高膀胱憩室癌的诊治水平。方法：回顾性分析1984-1999年2月经手术和病理证实6例膀胱憩室癌的临床资料，结合文献分析病因，诊治方法和预后。结果：5例患者为移行细胞癌，1例为鳞状细胞癌。5例行膀胱憩室切除术或膀胱部份切除术。憩室切除采用膀胱内外联合入路。1例行全膀胱切除术。5例术后予以膀胱灌注化疗，2例加作放疗。6例获随访，存活时间1-9年，平均5年。结论：确立诊断首选膀胱镜检查及活检，B超、CT和MR对肿瘤分期具有重要意义。对膀胱憩室癌行手术联合化疗或放疗，可显著提高疗效。

Diagnosis and Treatment of Carcinomas of Bladder Diverticula: A Report of 6 Cases

Objective: To evaluate the diagnosis and treatment of primary carcinomas in bladder diverticula. Methods: 6 cases of intradiverticular bladder carcinomas confirmed by surgery and pathology between Feb. 1984 and Feb. 1999 were reviewed and studied. Results: Five patients had primary intradiverticular transitional cell carcinoma and one patient had squamous cell carcinoma. Five patients underwent diverticulectomy or partial cystectomy, The combined extravesical and intravesical method was used. One patient under went radical cystectomy. Postoperative chemotherapy (five patients) and radiotherapy (two patients) were carried out. Six patients were followed up, their survival periods ranged 1 to 9 years with average of 5 years. Conclusion: Cystoscopy and biopsy are the first of choices for diagnosis, Ultrasoud, CT and MRI are of important significance in staging. Systemic chemotherapy and radiotherapy combined with surgery are beneficial for these neoplasms.