Kawashima Atsunari, Shiotsuka Youichi, Nin Mikio, Kokado Yukito
The Department of Urology, Kinki Central Hospital.
Hinyokika Kiyo. 2005 Apr;51(4):269-72.
We report a case of malignant lymphoma (ML) of the ureter. A 71-year-old man was admitted to our hospital with the chief complaint of macroscopic hematuria. IVP showed the dilation of left ureter and renal pelvis. Retrograde pyelography showed a 2cm filling defect in the right middle ureter. From the data given, a right ureteral tumor was suspected, and we performed tumor biopsy under an ureteral scope. Since it was diagnosed not as transitional cell carcinoma (TCC) of ureter but as ML with strong inflammation, partial ureterectomy and uretero-uretero anastomosis were done. Histological diagnosis was B cell follicular center lymphoma. Because Ga-scintigraphy revealed no evidence of other involement, it was diagnosed as ML originating from ureter. ML secondarily invading the urinary tract organs is commonly found, but ML originating from the urinary tract is rare. Especially, in regards to ML originating from ureter, only 16 cases have been reported in Japan.
我们报告一例输尿管恶性淋巴瘤(ML)。一名71岁男性因肉眼血尿为主诉入院。静脉肾盂造影显示左输尿管和肾盂扩张。逆行肾盂造影显示右输尿管中段有一个2cm的充盈缺损。根据所给数据,怀疑是右输尿管肿瘤,我们在输尿管镜下进行了肿瘤活检。由于诊断不是输尿管移行细胞癌(TCC),而是伴有强烈炎症的ML,遂行部分输尿管切除术及输尿管-输尿管吻合术。组织学诊断为B细胞滤泡中心淋巴瘤。因为镓扫描未显示其他受累证据,所以诊断为起源于输尿管的ML。继发侵犯尿路器官的ML很常见,但起源于尿路的ML很少见。特别是,关于起源于输尿管的ML,在日本仅报道过16例。