In order to study the pathogenesis, clinical and pathological characteristics of proliferative lesions of the bladder, 50 cases of proliferative lesions of the bladder from 150 patients with complaints of frequency, ...In order to study the pathogenesis, clinical and pathological characteristics of proliferative lesions of the bladder, 50 cases of proliferative lesions of the bladder from 150 patients with complaints of frequency, urgency, hematuria and dysuria were subjected to cystoscopic biopsy of the suspicious foci in the bladder In combination with the symptoms, urine routine and urodynamics, the relationship of proliferative lesions of the bladder to the inflammation and obstruction of the lower urinary tract was analyzed Of the 50 cases of proliferative bladder lesions, 44 cases (88%) had lower urinary tract infection and 29 (58%) lower urinary tract obstruction The patients with lower urinary tract obstruction were all complicated with infection Three cases were associated with transitional cell carcinoma Malignant cells were detected in 1 case by urinary cytologic examination Proliferative lesions of the bladder, especially those without other obvious mucosa changes under cystoscopy, are common histological variants of urothelium in the patients with chronic inflammation and obstruction of the lower urinary tract Chronic inflammation and obstruction of the lower urinary tract might be the causes for proliferative lesions of the bladder It is suggested that different treatments should be applied according to the scope and histological type of the proliferative lesions展开更多
文摘In order to study the pathogenesis, clinical and pathological characteristics of proliferative lesions of the bladder, 50 cases of proliferative lesions of the bladder from 150 patients with complaints of frequency, urgency, hematuria and dysuria were subjected to cystoscopic biopsy of the suspicious foci in the bladder In combination with the symptoms, urine routine and urodynamics, the relationship of proliferative lesions of the bladder to the inflammation and obstruction of the lower urinary tract was analyzed Of the 50 cases of proliferative bladder lesions, 44 cases (88%) had lower urinary tract infection and 29 (58%) lower urinary tract obstruction The patients with lower urinary tract obstruction were all complicated with infection Three cases were associated with transitional cell carcinoma Malignant cells were detected in 1 case by urinary cytologic examination Proliferative lesions of the bladder, especially those without other obvious mucosa changes under cystoscopy, are common histological variants of urothelium in the patients with chronic inflammation and obstruction of the lower urinary tract Chronic inflammation and obstruction of the lower urinary tract might be the causes for proliferative lesions of the bladder It is suggested that different treatments should be applied according to the scope and histological type of the proliferative lesions
