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[输尿管良性纤维上皮瘤。无痛性肉眼血尿的一种罕见鉴别诊断]

[Benign fibroepithelioma of the ureter. A rare differential diagnosis for pain-free macrohematuria].

作者信息

Bode M-E, Weining C, Wülfing C, Piechota H

机构信息

Klinik und Poliklinik für Urologie des Universitätsklinikums Münster, Westfälische Wilhelms-Universität, Albert-Schweitzer-Strasse 33, 48129 Münster, Germany.

出版信息

Urologe A. 2004 Feb;43(2):185-9. doi: 10.1007/s00120-003-0522-1.

Abstract

Gross hematuria without pain is a classical symptom of malignancy in the urinary tract. Despite the presence of other symptoms such as a history of heavy smoking or radiologic evidence of tumor growth, it may still be caused by a benign lesion. This is demonstrated by the case of a 38 year old man with a fibroepithelioma of the left ureter. While discussing the differential diagnostic and treatment procedures it is shown that even in the era of modern non-invasive imaging techniques there is still an important place for retrograde ureteropyelography in the evaluation of the upper urinary tract.

摘要

无痛性肉眼血尿是泌尿系统恶性肿瘤的典型症状。尽管存在其他症状,如大量吸烟史或肿瘤生长的影像学证据,但它仍可能由良性病变引起。一名38岁左侧输尿管纤维上皮瘤男性患者的病例证明了这一点。在讨论鉴别诊断和治疗程序时发现,即使在现代非侵入性成像技术时代,逆行输尿管肾盂造影在上尿路评估中仍占有重要地位。

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