成人膀胱横纹肌肉瘤2例报告并文献复习

 目的探讨成人膀胱横纹肌肉瘤的病变特点及临床诊治方法。方法回顾性分析2例成人膀胱横纹肌肉瘤患者的临床资料。结果本组2例均经手术治疗，术后经免疫组化及病理检查证实为膀胱横纹肌肉瘤。术后2例患者均给予VAC方案规则化疗及放疗，恢复良好。其中例1随诊2年，未见复发；例2八个月后死于脑血管意外。结论成人膀胱横纹肌肉瘤属少见病，恶性程度高且症状不典型，确诊需要靠免疫组化及病理证实，以手术为主的综合治疗方式效果较好。

Adult Rhabdomyosarcoma of Bladder: Report of 2 Cases and Review of Literature

Objective To evaluate the clinical features the diagnosis and treatment of adult rhabdomyosarcoma of the bladder.Methods two cases of adult rhabdomyosarcoma of the bladder were analyzed retrospectively.Results Two cases underwent surgical treatment.The rhabdomyosarcoma were proved postoperatively by pathology and immunohistochemistry.The two cases were postoperatively treated with regular chemotherapy and radiotherapy and there were no evidence of recurrence.The first case has been still alive during the follow-up of two years while the second case died of cerebrovascular accident after eight months follow-up.Conclusion The adult rhabdomyosarcoma of bladder is rare and has atypical symptoms.Pathology and immunohistochemistry are helpful for its diagnosis.Combined therapeutic strategy of primary radical surgery is effective for adult rhabdomyosarcoma of the bladder.