病例报告:一种罕见的结核病病例与膀癌结合
Yang Xiang1,2, Zhou Wen1,2, Meng Yang1
1Department of Urology, Guizhou Provincial People's Hospital, Guiyang, China.
Frontiers in oncology
|December 11, 2024
概括
这种罕见的病例突出了结核病与膀癌同时发生在一个57岁的男性. 诊断涉及成像和病理学,治疗因患者拒绝手术而复杂.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
背景情况:
- 结核病和膀癌是重要的泌尿病状况.
- 这两种疾病的同时发生是非常罕见的.
- 早期诊断和管理对于患者的治疗结果至关重要.
研究的目的:
- 报告一种罕见的同时出现结核病和膀癌的病例.
- 讨论这样的综合演示的诊断挑战和管理策略.
- 强调在复杂的泌尿病学病例中考虑共感染的重要性.
主要方法:
- 一个57岁的男性患者的病例报告.
- 诊断工作包括计算机断层扫描 (CT),增强CT,TSPOT.TB血液测试,红细胞沉积率 (ESR),尿液Mycobacterium结核病DNA测试,囊镜和病理检查.
- 管理涉及紧急穿皮瘤切除术 (PCN) 和通过尿道切除膀瘤 (TURBT),瘤切除术和激进囊切除术的讨论.
主要成果:
- 患者呈现出出血症和尿路刺激.
- 扫描图显示了右脏结和左尿管输出;增强的CT显示了膀瘤.
- 病理学证实了膀的高度 papillary uroepithelial 癌症和右结核病. 尿液Mycobacterium结核病DNA是负的,但血液TSPOT.TB是阳性的.
- 紧急PCN用于无尿; TURBT被推但被拒绝.
结论:
- 同时的结核病和膀癌代表了一个罕见的临床实体.
- 像CT,囊镜和活检这样的诊断方法对于准确的诊断至关重要.
- 管理需要多学科的方法,虽然患者因素显著影响治疗决策.
- 这一案例凸显了同时存在的泌尿系统恶性瘤和感染的管理的复杂性.
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