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转移到尿膀的转移性瘤的临床和病理特征
Wei Huang1, Joshua I Warrick2, Guoli Chen1
1Department of Pathology and Laboratory Medicine, Pennsylvania State University College of Medicine, Penn State Health, Hershey, PA, USA.
Annals of diagnostic pathology
|July 15, 2023
概括
膀转移性癌症是罕见的. 这项研究确定了8例病例,其中黑色素瘤,细胞癌和胃肠腺癌是最常见的,突出了病理学家的诊断挑战.
科学领域:
- 手术病理学手术病理学
- 尿道瘤学 尿道瘤学
- 在瘤学瘤学.
背景情况:
- 膀转移性癌症是一种不常见的,经常被忽视的诊断.
- 区分真正的膀转移与直接延伸或血清植入至关重要.
研究的目的:
- 为了识别和描述真正的膀转移病例.
- 突出诊断挑战和膀转移性瘤的关键特征.
主要方法:
- 20年来对8例真正的膀转移病例进行了回顾性审查.
- 分析瘤类型,临床表现,成像发现和组织学特征.
主要成果:
- 恶性黑色素瘤 (3/8),清细胞细胞癌 (2/8),胃肠腺癌 (2/8) 是最常见的原发性瘤.
- 异位转移呈出血,模仿尿路癌;扩散转移导致尿路阻塞,类似于尿路感染.
- 尿癌的组织学模仿构成了诊断挑战.
结论:
- 膀转移的准确诊断需要高度怀疑和多学科的方法.
- 像结厚的膀壁这样的成像发现对于诊断扩散转移至关重要.
- 在初级膀癌中缺乏in situ成分可能表明转移.
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