Katayama Y, Katoh Y, Esa A, Nagai N, Iguchi M, Hatada N, Nishide T, Kawasaki K
Department of Urology, Kaizuka Municipal Hospital.
Hinyokika Kiyo. 1990 Mar;36(3):343-6.
We report a case of metastatic ureteral tumor resulting from gastric cancer in a 56-year-old female. She had undergone distal gastrectomy for gastric cancer in our hospital 3 years earlier, on the histological diagnosis of poorly differentiated adenocarcinoma with absolute curative resection. In March, 1987, she visited our hospital complaining of microscopic hematuria and lumbago. Intravenous pyelography and left retrograde pyelography revealed the stenotic change of the left ureter and hydronephrosis. Endoscopic ureteral biopsy was performed, and the histological diagnosis was an inflammatory change of the ureter. But the hydronephrosis increased, so partial ureterectomy was performed. The histological examination confirmed adenocarcinoma in the left ureter resulting from gastric cancer. From the 340th postoperative day, she complained of general fatigue and vomiting, and gastroscopy revealed recurrent gastric cancer.
我们报告一例56岁女性因胃癌导致的转移性输尿管肿瘤。3年前她在我院因胃癌接受了远端胃切除术，组织学诊断为低分化腺癌，行根治性切除术。1987年3月，她因镜下血尿和腰痛前来我院就诊。静脉肾盂造影和左逆行肾盂造影显示左输尿管狭窄及肾积水。行输尿管内镜活检，组织学诊断为输尿管炎症改变。但肾积水加重，遂行部分输尿管切除术。组织学检查证实左输尿管腺癌由胃癌转移所致。术后第340天，她出现全身乏力和呕吐，胃镜检查发现复发性胃癌。
