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膀胱鳞癌少见,我们收治4例,报告如下。4例中,男女各2例。年龄分别为37、59、55和59岁。均有反复发作的尿路感染病史(13～35年)。其中1例多次排出结石伴肉眼血尿半年,因结石嵌顿在尿道膜部4小时入院,作膀胱切开取石时见膀胱壁增厚达1.5cm,质硬脆,粘膜粗糙易出血。取活检病理诊断为鳞状细胞癌。2周后拟行膀胱全切除,因膀胱与骨盆粘连且固定而无法切除。2例因间断性血尿,排出烂肉样组织3～4个月入院。另1例因间断肉眼血尿1年就诊。这3例均行膀胱镜检查,在前壁及在前壁分别见到3、5和4.5cm向膀胱腔突出的广基肿瘤,2例瘤体表面附有脓苔。3例均作了膀胱部分切除,病理诊断鳞状细胞癌2例,腺癌、移行细胞和鳞状细胞混合癌1例。肿瘤均侵及深肌层和膀胱周围。其中2例在术后4个月和8个月复发,1例拟行膀胱全切除,因与周围粘连严重而无法切除,另1例拒绝再次手术。4例分别在确诊
Bladder squamous cell carcinoma rare, we admitted 4 cases, the report is as follows. In 4 cases, 2 were male and female. The ages are 37, 59, 55 and 59 respectively. Have recurrent episodes of urinary tract infection (13 to 35 years). One case of multiple discharge of stones with gross hematuria for six months, due to stone incarcerated in the urethra membrane Department 4 hours admission for bladder incision see when the bladder wall thickening up to 1.5cm, hard and brittle, mucosal rough bleeding easily. Take biopsy pathological diagnosis of squamous cell carcinoma. Two weeks after the proposed full bladder resection, due to the adhesion of the bladder and pelvis and fixed and can not be removed. 2 cases of intermittent hematuria, excretion of swollen meat-like tissue 3 to 4 months admission. Another case of intermittent gross hematuria 1 year treatment. All 3 patients underwent cystoscopy. The wide basal tumors with 3,5 and 4.5 cm prominent to the bladder cavity were seen on the anterior wall and the anterior wall, respectively. Two cases of pus coating on the surface of the tumor. 3 cases were made partial resection of the bladder, pathological diagnosis of squamous cell carcinoma in 2 cases, adenocarcinoma, transitional cell and squamous cell carcinoma in 1 case. Tumors invade the deep myometrium and the bladder around. Two of them recurred at 4 months and 8 months after operation. One case underwent total resection of the bladder, which was unresectable due to the serious surrounding adhesions. The other one refused to undergo reoperation. 4 cases were diagnosed