Hayashi Y, Tawada T, Ando Y
Department of Urology, Nagoya City Josai Hospital.
Hinyokika Kiyo. 1992 Sep;38(9):1015-8; discussion 1018-9.
From 1975 to 1990, we treated 118 patients with urinary epithelial cancer, including 100 with primary bladder cancer, 13 with primary upper urinary tract cancer, and 5 with both diseases. Thirty-five patients with primary bladder cancer underwent total cystectomy. Upper urinary tract urothelial cancer developed in 4 patients (4.0%) and was detected only after cystectomy. Three patients had multiple bladder tumors before cystectomy and recurrent tumors under long-term bladder-preserving treatment. The other patient had had cystectomy for the primary bladder lesion. Our present policy is to perform urinary cytology once a month and intravenous urography once a year in patients with bladder cancer for early detection of secondary upper urinary tract cancer.
1975年至1990年期间，我们治疗了118例尿路上皮癌患者，其中100例为原发性膀胱癌，13例为原发性上尿路癌，5例同时患有这两种疾病。35例原发性膀胱癌患者接受了全膀胱切除术。4例患者（4.0%）发生了上尿路尿路上皮癌，且仅在膀胱切除术后才被发现。3例患者在膀胱切除术前有多发膀胱肿瘤，在长期膀胱保留治疗下出现复发肿瘤。另1例患者因原发性膀胱病变接受了膀胱切除术。我们目前的策略是，对膀胱癌患者每月进行一次尿液细胞学检查，每年进行一次静脉肾盂造影，以便早期发现继发性上尿路癌。
