膀胱腺癌– 病例報告
蔡秉浩、江恆杰、陳柏華
彰化基督教醫院 外科部 泌尿科
Adenocarcinoma of urinary bladder– A Case Report
Ping-Hao Tsai, Heng-Chieh Chiang, Pao-Hwa Chen
Divisions of Urology, Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan
Case report:
This 78 years old man who was under regular follow-up post transurethral rsection of prostate gland. During last cystoscope, tumor biopsy was done and the pathologic report reveal possibility of urothelial carcinoma with glandular differentiation, which primary adenocarcinoma or secondary adenocarcinoma involvement especially colorectal origin may be consideration on July, 2015.
Afterward, we arranged MRI for tumor staging and it reveals T3N0M0, Stages III. Then, after explain to patient, transurethral resection of bladder tumor wasa performed on Aug, 2015. The final pathologic report reveals adenocarcinoma arising from urinary bladder. We also arranged colon scope which reveals negtive finding. PET scan reveals no uptake for gastrointestinal tract.
As exclude colorectal origin of adenocarcinoma, patient is under radiotherapy and chemotherapy for adneomcarcinoma currently.