Sugi Motohiko, Fukui Katsuya, Yoshida Kenji, Inui Hidekazu, Kawakita Shigenari, Murota Takashi, Kinoshita Hidehumi, Matsuda Tadashi
The Department of Urology, Kansai Medical University Takii Hospital.
Hinyokika Kiyo. 2010 Feb;56(2):87-90.
Transitional cell carcinoma of the urothelium is often multifocal, and subsequent tumors may occur anywhere in the urinary tract afer treating the initial carcinoma. The risk of an upper urinary tract recurrence following a radical cystectomy has been reported to be approximately 2 to 8%, but there are few reports with regard to the pattern and predictive factors of upper tract recurrence. We report here the incidence and pattern of upper tract recurrence following a radical cystectomy. Of the 166 patients 5 (3%) had upper tract recurrence. The prognosis of upper urinary tract recurrence is significantly better than other site of recurrence.
尿路上皮移行细胞癌常为多灶性，在治疗初始癌后，后续肿瘤可能发生于尿路的任何部位。据报道，根治性膀胱切除术后上尿路复发的风险约为2%至8%，但关于上尿路复发模式及预测因素的报道较少。我们在此报告根治性膀胱切除术后上尿路复发的发生率及模式。166例患者中，5例（3%）发生上尿路复发。上尿路复发的预后明显优于其他部位的复发。
