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膀胱混合性癌临床上较少见。国内1984年沈志坚等曾报告5例。1985年张思孝也描述了7例膀胱混合性上皮癌的临床特征及预后。我院1981年4月～1988年10月曾收治4例膀胱移行细胞癌合并鳞状细胞癌,现报告如下。例1 男,57岁,反复尿频、急、痛伴排尿不畅3年,出现血尿1年6个月于1981年4月8日入院。膀胱镜检查发现膀胱底部有3cm广基肿瘤呈溃疡型。行膀胱部份切除。病理诊断:膀胱鳞癌合并移行细胞癌。术后6月因肿瘤广泛转移死亡。例2 男,66岁,4年前曾患膀胱癌在本院行膀胱部份切除及左侧输尿管再植术。术后病理诊断为移行细胞癌。因再次发现血尿伴尿痛于1983年8月20日入院。膀胱镇检查发现膀胱底部有3cm广基肿瘤,其表面附着钙盐结晶。行膀胱部分切除。病理诊断:膀胱移行细胞癌Ⅱ级合
Mixed bladder cancer is clinically rare. In 1984, Shen Zhijian had reported 5 cases. In 1985, Zhang also described the clinical features and prognosis of 7 cases of mixed bladder cancer. Our hospital from April 1981 to October 1988 had admitted 4 cases of transitional cell carcinoma of the bladder with squamous cell carcinoma, are as follows. Example 1 Male, 57 years old, frequent urination, urgency, pain with poor urination 3 years, 1 year and 6 months hematuria admitted on April 8, 1981. Cystoscopy revealed a 3 cm wide basal tumor at the bottom of the bladder showing ulceration. Bladder partial excision. Pathological diagnosis: squamous cell carcinoma of the bladder with transitional cell carcinoma. After 6 months due to extensive tumor metastasis. Case 2 male, 66 years old, had bladder cancer 4 years ago in our hospital with partial resection of the bladder and left ureteral replantation. Postoperative pathological diagnosis of transitional cell carcinoma. Hematuria with dysuria again found on August 20, 1983 admission. Bladder examination found that the bottom of the bladder 3cm wide-based tumors, the surface of the calcium salt crystals attached. Bladder partial excision. Pathological diagnosis: transitional cell carcinoma of the bladder Ⅱ combined