Shigemura Katsumi, Arakawa Soichi, Yuen Keiji, Kataoka Nobuo, Fujisawa Masato
The Department of Urology, Nishiwaki Municipal Hospital.
Hinyokika Kiyo. 2006 Aug;52(8):637-40.
We report a 74-year-old male who developed ureteral carcinoma after 11 years of radical cystectomy and rectal bladder reconstruction. The patient had right lumbago and high grade fever and right hydronephrosis. He was suspected to have right ureter tumor under the antegrade pyelography at the time of right nephrostomy, and ureter tumor was diagnosed by the combination of computed tomography and antegrade pyelography. Under this preoperative diagnosis, right nephroureterectomy was performed. The histopathological diagnosis was transitional cell carcinoma. Since the recurrence of urothelial cancer at 10 years after radical cystectomy is rare, we believe our case is useful for the establishment of long-term follow up of bladder cancer.
我们报告一例74岁男性患者，在根治性膀胱切除术及直肠膀胱重建术后11年发生输尿管癌。患者出现右侧腰痛、高热及右肾积水。在右侧肾造瘘术时，经顺行肾盂造影怀疑右侧输尿管肿瘤，通过计算机断层扫描和顺行肾盂造影相结合确诊为输尿管肿瘤。在该术前诊断下，实施了右侧肾输尿管切除术。组织病理学诊断为移行细胞癌。由于根治性膀胱切除术后10年尿路上皮癌复发罕见，我们认为我们的病例对于建立膀胱癌的长期随访有帮助。
