The diagnosis and treatment of bladder tumor with pregnancy (Reported of 1 case and literature reviewed)
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摘要: 目的：总结妊娠期合并膀胱肿瘤的临床特点、诊疗对策、母婴结局以及探讨较为适当的处理方法。方法：对1例妊娠期合并膀胱肿瘤的患者进行影像学检查、实验室检查及膀胱镜检查，并于连续硬膜外腔麻醉下行剖宫产术及经尿道膀胱肿瘤切除术（TURBT术）。结果：剖宫产分娩出正常男婴，随后立即行TURBT术，其中TURBT手术时间 20 min，出血10 ml，术后第7天出院，恢复良好，术后病理结果提示：尿路上皮癌，Ⅱ级。随访2年，未见疾病转移或复发。结论：妊娠期合并膀胱肿瘤临床上较为少见，对于其发生的机制尚未明确，其诊断方式的选择应避免使用可能致胎儿畸形的检查，对于其治疗需注意时机及治疗方案的选择。Abstract: Objective: To discuss clinical features, diagnosis and treatment measures, maternal and neonatal outcomes of Bladder tumor during pregnancy and investigate a more appropriate approach about it. Method: A pregnant with bladder tumor was undertaken imaging studies, laboratory tests and cystoscopy, and continuous epidural anesthesia by cesarean section and urethral resection of bladder tumor (TURBT). Result: A normal baby boy was birth by cesarean section,and TURBT was taken immediately. The operation of TURBT was ended in 20 minutes and was very successful. The postoperation hospital stay was 7 days. Histological examination was urothelial carcinoma. The patient had not present any evidence of tumor recurrence after 2 years follow up. Conclusion: Bladder tumor during pregnancy is rare in the clinical. And the mechanism is not yet clear.What's more, Inspection of the fetal teratogenic factors should be avoided.The Opportunity and way of treatment should be taken into consideration.
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Key words:
- bladder tumor /
- pregnancy /
- diagnosis and treatment
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