Kang Chih-Hsiung, Yu Tsan-Jung, Hsieh Hwei-Ho, Yang Joseph W, Shu Kenneth, Shiue Yow-Ling
Department of Urology, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Urology. 2004 Feb;63(2):380-2. doi: 10.1016/j.urology.2003.09.072.
Primary transitional cell carcinoma of synchronous bilateral upper urinary tracts is rare. In our patients, end-stage renal disease and renal insufficiency were frequently associated with bilateral upper tract transitional cell carcinoma. The clinical presentations of these patients were similar to that of those with Chinese-herb nephropathy and Balkan endemic nephropathy. Renal-sparing surgery should be performed for patients with adequate renal function preoperatively. Renal autotransplantation combined with pyeloneocystostomy was a good method for 1 patient who was at a high risk of developing recurrent transitional cell carcinoma.
原发性同步双侧上尿路移行细胞癌很罕见。在我们的患者中，终末期肾病和肾功能不全常与双侧上尿路移行细胞癌相关。这些患者的临床表现与中草药肾病和巴尔干地方性肾病患者相似。对于术前肾功能良好的患者应行保留肾手术。肾自体移植联合肾盂膀胱吻合术对1例有高复发风险的移行细胞癌患者是一种很好的方法。
