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每天两包烟+2两白酒 八旬老汉盆腔里长了两个肿瘤

2018-10-20    来源:浙江在线    记者 梁婧娴 通讯员 张颖颖
今日新开1.76传奇网站   新型城镇化的核心在人。

  浙江在线-健康网5月5日讯(浙江在线记者 梁婧娴 通讯员 张颖颖)84岁的王爷爷把日子过得跟神仙似的,每天两包烟、2两白酒,50年雷打不动,而且耳不鸣眼不花,让人好不羡慕。

  可是,最近王爷爷的心情不太妙,总说自己的好日子要到头了。“小便像酱油色,一天得解几十次;大便次数也多而且老拉稀,实在太痛苦了!”说起自己的近况,王爷爷感叹最近“生不如死”。

  在朋友的推荐下,他找到杭州市第一人民医院泌尿外科于志坚主任医师,膀胱镜检查提示,王爷爷的膀胱里长了一个巨大肿瘤,几乎占据了一大半的膀胱,病理分析显示肿块为高级别泌尿上皮癌。

  住院后,王爷爷又接受了一系列检查,竟发现直肠里还有个6*4cm大小的肿块,活检病理提示为直肠恶性肿瘤。也就是说,在王爷爷的盆腔里一下子长了两个肿瘤,还都长到了鸡蛋大小。

  邓刚主任医师说,这就解释了为什么王爷爷会产生尿频(膀胱容量变小),酱油色尿(膀胱癌出血)以及反复腹泻(结直肠肿瘤所致)。如果放任不管,两个肿瘤继续增大,王爷爷将出现更加频繁及严重的尿频、血尿、腹泻,甚至肠梗阻等症状,贫血加剧、肿瘤侵犯转移,最终会危及生命。

  经多学科会诊,院方研究制定了王爷爷的后续治疗方案,决定联合为王爷爷做手术。

  手术历时8个多小时,尽管患者年纪较大、切除范围广(手术切除涉及泌尿系统和消化系统)、肿瘤恶性程度高、难度系数大,但经过两个科室的配合,手术非常顺利。目前,王爷爷身体恢复较好,马上就可以出院了。

  邓刚主任医师说,膀胱癌是泌尿外科常见的恶性肿瘤,患者通常以无痛性肉眼血尿就诊。

  临床研究显示,80%以上的膀胱癌发病与致癌危险因素相关。

  吸烟:与膀胱癌有直接关系。国外临床数据显示,吸烟者比不吸烟的膀胱癌发病率高4倍;吸烟的历史愈久,烟瘾越大,得膀胱癌的机会也越高,香烟烟雾中存在多种可能导致膀胱癌的物质。

  化学性致癌物质,如染发剂等:职业接触芳香胺是目前已经明确的膀胱癌危险因素。染料中的中间体如l-萘胺、2-萘胺及联基胺,橡胶及塑料的防老剂4-氨基联基地均有膀胱致癌作用。理发师及中老年经常染发人群可能是膀胱癌的高危人群。

  遗传、基因因素:膀胱癌的致病与基因密切相关。病毒或某些化学致癌物作用于人体,使原癌基因激活成癌基因,抑癌基因失活而致癌。另外,很多膀胱癌病人没有明显接触化学致癌物的病史,可能与体内色氨酸代谢异常有关。膀胱癌也与遗传密切相关,膀胱癌患者的直系亲属患膀胱癌的危险性约为无家族史者的2倍,年轻膀胱癌患者的直系亲属危险性更高。

  其他因素:人工甜味品如糖精等有膀胱致癌作用。另外,长期服用一些镇痛药也可能增加发生膀胱肿瘤的风险。膀胱长期慢性感染与刺激以及一些免疫抑制剂亦能引起膀胱癌。

 

责任编辑:王秀萍
标签:膀胱癌 盆腔 肿瘤归属专题:

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