篇名 | Verrucous Carcinoma of Vesical Diverticulum: A Case Report with the Review of Literature |
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卷期 | 1:4 |
並列篇名 | 膀胱憩室疣狀癌─病例報告及文獻回顧 |
作者 | 江博暉 、 周以和 、 江金培 、 黃俊雄 、 林相如 |
頁次 | 314-319 |
關鍵字 | verrucous carcinoma 、 bladder neoplasm 、 vesical diverticulum 、 TSCI |
出刊日期 | 199012 |
膀胱疣狀癌相當少見,並且往往伴隨有血吸虫虫卵,在非血吸虫流行區,英文文獻上,僅有四例被報告,本文病例是一位74歲的中藥商,主訴解尿困難及疼痛,超音波及放射線檢查發現膀胱有一中隔和結石,手術中發現此結石中心為植物類物質,而結石下方有一疣狀腫瘤,生藥鑑定報告為參類植物,腫瘤病理報告為疣狀癌。膀胱異物慢性刺激引起疣狀癌之病理機轉可能與血吸虫虫卵相似,病人接受膀胱憩室切除及輸尿管膀胱新口吻合術近一年來情況穩定,文中並對相關文獻作一回顧。
Verrucous carcinoma is distinctly rare in the urinary bladder and often associated with positive schistosomal eggs history. There are only 4 reported cases of verrucous carcinoma of urinary blassde in the nonbilharzial epidemic area. We herein present a case with ver-rcous carcinoma of giant diverticulum where vesical foreign body with calcification was co-existent. The pathogenesis in this case may be due to chronic mechanical irritation of for-eign body like that of schistosomal eggs. The preferred treatment of verrucous carcinoma is wide surgical excision. (J Urol R.O.C., 1:314-319, 1990)