膀胱憩室腫瘍

Abstract

A 72-year-old man was seen with gross hematuria, chill and fever. Urological examinations revealed a tumor in the diverticulum of the bladder, a stone in the right ureter with hydronephrosis and prostatic hypertrophy. Partial cystectomy with complete resection of the diverticulum and ureterolithotomy were performed. The tumor was transitional cell carcinoma grade II pathohistologically. Two years after the operation, recurrence of tumor was found, and partial cystectomy was again carried out. The patient is doing well and tumor-free nine months after the second surgery. Forty-eight cases of tumor in the diverticulum of the bladder could be collected from the Japanese literature up to 1971. Prognosis of this particular disease is generally unfavorable, and survival beyond two years is quite rare. Importance of early diagnosis and early treatment was therefore emphasized.