偶发性膀胱癌的诊断和治疗(附25例报告)

目的：提高偶发性膀胱癌的诊治水平，总结偶发性膀胱癌的临床特点。方法：回顾性分析25例偶发性膀胱癌的诊断方法，其中B超体检发现14周，因镜下血尿发现5例，因前列腺增生症发现6例。患者行TUR－Bt或膀胱部分切除术。结果：本组偶发癌均为早期膀胱移行细胞癌。20例术后随访1－5年，均生存。1例复发，复发率为4％。结论：B超体检和尿常规检查是早期发现无症状人群膀胱癌的主要方法，简便无创。偶发性膀胱癌及早治疗预后良好。

Diagnosis and treatment of Incidental cancer of bladder (25 Cases Reports)

Objective:To sum up the diagnosis and treatment of the incidental cancer of bladder and evaluate the clinical character of the incidental cancer of bladder.Methods:The diagnostic methods of the incidental bladder cancer were respectively reviewed,in which14cases were found by B ultrasonic scan,5cases by microscopic hematuria,4cases by benign prostate hyperplasia.all cases were treated by TUR_Bt or partial cystectomy.Results:All cases were early stage bladder cancer,and20cases surivived after the follow_up from1year to5years.The recurrence rate was5%.Conclusion:B_ultrasonic scan and urine routine examination are the main procedure to find the asymptomatic patients with bladder cancer.The incidental bladder cancer has a good prognosis after a early treatment.