Simforoosh Nasser, Ghohestani Seyed-Mohammad, Abdi Hamidreza, Soltani Mohammadhossein, Basiri Abbas
Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University, M.C., Tehran, IR Iran.
J Pak Med Assoc. 2010 Mar;60(3):230-2.
Two case reports are presented with an important question what should be done when an endoscopic appearance of the urotherial lesion is unavailable. As seen in clinical practice, many patients choose nephroureterectomy with frequent follow up procedures. The other question raised is that what should be done when the lesions are ureteroscopically inaccessible. These patients can avail the advantages of radical treatment without accepting the probable as initial form of treatment to evade the risk and detriments of unnecessary additional endoscopic procedures.
本文呈现了两例病例报告，并提出了一个重要问题：当无法获得尿路上皮病变的内镜表现时应如何处理。在临床实践中可以看到，许多患者选择肾输尿管切除术并频繁进行后续检查。另一个提出的问题是，当病变无法通过输尿管镜检查到达时该怎么办。这些患者可以在不接受可能作为初始治疗形式的情况下，利用根治性治疗的优势，以规避不必要的额外内镜检查程序带来的风险和损害。
