Irisawa C, Takahashi M, Suzuki K, Sugano O, Kato H, Ishigooka M, Abe Y, Ishii N, Hirano J
Department of Urology, Yamagata Prefectural Central Hospital.
Hinyokika Kiyo. 1991 Jan;37(1):73-6.
A 58-year-old woman was introduced to our department complaining of lower abdominal pain and macrohematuria in March, 1978. Intravenous pyelography revealed stenosis and a ureteral stone on the right distal ureter. In May, 1983, she visited our department again. Endoscopically, bleeding from the right ureteral orifice was observed. Retrograde pyelography demonstrated the right hydronephrosis and irregular margin of the right lower ureter. However, the urine cytology was negative, and CT scan and ureteroscopy showed no tumorous lesion on the portion. On 7 August, 1989, partial ureterectomy and end to end anastomosis was performed. Histopathological examination by H-E and Congo red stain proved amyloid deposition. Postoperative course was uneventful. A total of 40 cases of amyloidosis of the ureter in the world are reviewed.
一名58岁女性于1978年3月因下腹部疼痛和肉眼血尿前来我科就诊。静脉肾盂造影显示右侧输尿管远端狭窄并伴有输尿管结石。1983年5月，她再次前来我科。内镜检查发现右侧输尿管口出血。逆行肾盂造影显示右肾积水以及右侧输尿管下段边缘不规则。然而，尿液细胞学检查呈阴性，CT扫描和输尿管镜检查均未发现该部位有肿瘤性病变。1989年8月7日，进行了部分输尿管切除术及端端吻合术。苏木精-伊红染色和刚果红染色的组织病理学检查证实有淀粉样物质沉积。术后病程平稳。本文对世界范围内共40例输尿管淀粉样变性病例进行了综述。
