Tamura Y, Sekihara T, Makino T, Sibayama K, Hirato J
Department of Urology, Tomioka Kousei Hospital.
Hinyokika Kiyo. 1990 Aug;36(8):945-8.
The patient was a 75-year-old man who complained of macrohematuria which had set in from April 12, 1988. Under the clinical diagnosis of bladder tumor, total cystectomy with ureterosigmoidostomy was performed on June 25. During his surgery, we discovered a polypoid lesion of the right ureter close to the common iliac artery. The tumor was peanut-sized and had a stalk suggesting benign nature, so we resected it. Postoperative pathological examination revealed the tumor was transitional cell carcinoma (grade 2) with an inverted growth pattern. Though we could find no signs of tumor recurrence, the presence of tumor's residuum could not be ruled out. We performed nephroureterectomy of the right side on December 19. Follow-up on July 1, 1989 this patient revealed no tumor recurrence.
患者为一名75岁男性,自1988年4月12日起出现肉眼血尿。临床诊断为膀胱肿瘤,于6月25日行全膀胱切除术及输尿管乙状结肠吻合术。手术过程中,我们在靠近髂总动脉处发现右侧输尿管有一息肉样病变。肿瘤呈花生大小,有蒂,提示为良性,因此我们将其切除。术后病理检查显示肿瘤为移行细胞癌(2级),呈内翻性生长模式。虽然我们未发现肿瘤复发迹象,但不能排除肿瘤残留的存在。我们于12月19日行右侧肾输尿管切除术。1989年7月1日对该患者进行随访,未发现肿瘤复发。