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膀胱结石并发膀胱移行上皮癌并不常见,我们曾遇到5例,现报告如下。例1 男,58岁。因排尿疼痛及血尿1月余于1986年2月入院,腹部平片见膀胱区有一2.0cm×1.5cm及1.3cm×1.3cm大小结石影。膀胱镜检:除见结石外,于膀胱后凹处可见一1.5cm×1.0cm大小肿物。行膀胱切开取石术及肿瘤局部电灼术。病理报告:膀胱移行上皮细胞癌Ⅱ级。9个月后膀胱镜复查见右侧输尿管口旁又有一1.0cm×1.0cm大小肿物。再行膀胱部分切除术及右输尿管移植术。肿物病理报告如前。随访5年无复发。例2 男,31岁。因间歇性血尿并排尿中断现象1年于1988年4月入院。腹部平片见膀胱区有一3.0cm×2.5cm结石影。行膀胱液电碎石术。术后半年又见血尿,膀胱镜检见膀胱内有一1.2cm×1.5cm肿物。行膀胱部分切除术。切除肿物病理报
Bladder stones complicated with bladder transitional epithelial cancer is not common, we have encountered five cases, are as follows. Example 1 male, 58 years old. Due to urination pain and hematuria January more than admitted in February 1986, abdominal plain film see the bladder area has a 2.0cm × 1.5cm and 1.3cm × 1.3cm size stone shadow. Cystoscopy: In addition to see the stones, the bladder after the recess can be seen a 1.5cm × 1.0cm size of the tumor. Bladder lithotomy and tumor local cautery. Pathology report: Bladder transitional cell carcinoma grade. 9 months after the cystoscopy review see the right ureter orifice and a 1.0cm × 1.0cm size of the tumor. Partial bladder resection and right ureter transplantation. Tumor pathology report as before. No follow-up of 5 years follow-up. Example 2 male, 31 years old. Due to intermittent hematuria and urination interruption of 1 year in April 1988 admitted. Abdominal plain film see the bladder area has a 3.0cm × 2.5cm stone shadow. Bladder lithotripsy. After six months see hematuria, cystoscopy see the bladder with a 1.2cm × 1.5cm tumor. Bladder partial excision. Removal of tumor pathology