Nishimura K, Imazu T, Sakaue K, Yoshimura K, Miyoshi S, Mizutani S
Department of Urology, Osaka Rosai Hospital.
Hinyokika Kiyo. 1992 Sep;38(9):1009-13.
Sixty-six patients with renal pelvic and ureteral tumors were treated in our hospital between June 1974 and June 1991. These cases consisted of 27 renal pelvic tumors, 31 ureteral tumors and 8 renal pelvic and ureteral tumors. Their ages ranged from 43 to 86 years old (average: 65). There were 46 males and 20 females. The surgical method involved total nephroureterectomy with a cuff for 44 patients, nephroureterectomy for 3, nephrectomy for 9, total nephroureterectomy with total cystectomy for 5 and partial ureterectomy for 2. Histologically, there were 60 transitional cell carcinomas (TCC), 2 squamous cell carcinomas (SCC) and 4 TCC with SCC. As for the pathological stage, 13 were pTa, 16 pT1, 12 pT2, 11 pT3, 13 pT4 and 1 pTX. Subsequent bladder tumors were found in 13 patients (19.7%). The overall survival rate at 1, 3 and 5 years were 80%, 68% and 52%, respectively according to the Kaplan-Meier's method. In this series, the pathological staging was the most important prognostic factor.
1974年6月至1991年6月期间，我院共治疗了66例肾盂及输尿管肿瘤患者。这些病例包括27例肾盂肿瘤、31例输尿管肿瘤和8例肾盂及输尿管肿瘤。他们的年龄在43岁至86岁之间（平均65岁）。男性46例，女性20例。手术方法包括44例患者行带袖状切除的全肾输尿管切除术、3例行肾输尿管切除术、9例行肾切除术、5例行全肾输尿管切除术加全膀胱切除术和2例行部分输尿管切除术。组织学上，有60例移行细胞癌（TCC）、2例鳞状细胞癌（SCC）和4例伴有SCC的TCC。至于病理分期，13例为pTa，16例为pT1，12例为pT2，11例为pT3，13例为pT4，1例为pTX。13例患者（19.7%）发现了后续膀胱肿瘤。根据Kaplan-Meier法，1年、3年和5年的总生存率分别为80%、68%和52%。在本系列中，病理分期是最重要的预后因素。
