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本文对我院6例原诊断为膀胱葡萄簇状肉瘤的病例进行了临床随访并做了病理组织学研究。全部患者在术后2～12个月内死亡。6例瘤组织的病理学图象基本相同,但有些区域则呈恶性淋巴瘤样或粘液肉瘤样或平滑肌肉瘤样形态。它们虽貌似有多种组织成分,但经特柒证明却只含有胚胎性横纹肌肉瘤成分,而无其它良恶性问叶性瘤组织成分。因此,在病理学命名上,应将它诊断为膀胱横纹肌肉瘤,建议不再使用“葡萄簇状肉瘤”的名称。此外,作者并收集国内文献中报告过的膀胱横纹肌肉瘤(葡萄簇状肉瘤)共69例,结合本文报告6例,详细讨论了它的发病率、命名和组织发生学等临床和病理方面的问题。-
This article 6 cases of our hospital was diagnosed as bladder grape cluster sarcoma cases were followed up and made a histopathological study. All patients died within 2 to 12 months after surgery. The histopathological images of the 6 tumor tissues were basically the same, but some of them showed malignant lymphoma or myxomatous sarcomatoid or leiomyosarcoma-like morphology. Although they appear to have a variety of tissue components, but the only evidence that it contains only embryonic rhabdomyosarcoma components, and no other benign and malignant leaf tumor components. Therefore, in the pathological naming, it should be diagnosed as bladder rhabdomyosarcoma, it is recommended not to use the “grape cluster sarcoma” name. In addition, the authors collected 69 cases of bladder rhabdomyosarcoma (grape-cluster sarcoma) reported in the domestic literature and discussed the clinical and pathological aspects of the incidence, nomenclature and histology in detail in combination with 6 cases reported in this paper . -