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膀胱鳞癌少见,占膀胱肿瘤的3%～6.7%.而膀胱转移性鳞癌则更罕见,兹报告1例.患者男性,62岁,因突发终末无痛性肉眼血尿、间歇发作2个月伴尿频、尿急、尿痛等膀胱刺激症状进行性加重,于1992年1月8日入院.即往史:4年前因患肺鳞癌行左上肺叶切除术,术后曾用VCR,5—Fu及CTX化疗6个疗程,剂量不详,多次复查均未见复发或转移.入院检查:双侧锁骨上淋巴结不大,尿常规BLD(?),血肝肾功能正常.胸片示:左肺舌叶炎症左侧胸膜肥厚.B超检查:肝及双肾(一),膀胱右侧壁肿物约4cm侵犯肌层.IVP双肾及输尿管显影正常,膀胱右侧壁约4.7cm×2.5cm充盈缺损区.膀胱镜检:膀胱容量约150ml,右侧壁广基实性肿物,约4cm×3cm×3cm,结节状,表面附
Bladder squamous cell carcinoma is rare, accounting for 3% to 6.7% of the bladder tumor, while metastatic squamous cell carcinoma of the bladder is even more rare, it is reported in 1. In male patients, aged 62, due to sudden terminal painless gross hematuria, intermittent episodes 2 Months with frequent urination, urgency, dysuria and other bladder irritation aggravated in January 8, 1992 admitted to the history: 4 years ago due to squamous cell carcinoma of the lung left upper lobectomy after surgery had VCR , 5-Fu and CTX chemotherapy 6 courses, the dose is unknown, repeated re-examination showed no recurrence or metastasis.Admission examination: bilateral supraclavicular lymph nodes, urinary routine BLD (?), Liver and kidney function is normal. Left lung lobular inflammation pleural thickening. B-ultrasound: liver and kidney (a), the right side of the bladder tumor about 4cm invaded the muscle layer IVP renal and ureter normal, right bladder wall about 4.7 cm × 2.5cm filling defect area. Cystoscopy: Bladder volume of about 150ml, the right side of the wall wide solid tumors, about 4cm × 3cm × 3cm, nodular, surface attached