Wu K R
Beijing Friendship Hospital.
Zhonghua Wai Ke Za Zhi. 1990 Apr;28(4):222-4, 253.
Thirty-one cases of ureteral carcinoma have been treated from 1973 to 1988. 23 patients were male and 8 female. The average age was 57.1, and usually occurred in the fourth to sixth decade (77.4%). The growth was over grade T2 in 74.2%. All tumors were located in the middle and lower third of the ureter. A tendency to increasing incidence in this lesions was found, owing to the advance in diagnostic technique. The causes of delay diagnosis were discussed. The importance of retrograde pyelography including total ureter and direct biopsy through ureteroscopy are stressed. Nephroureterectomy with excision of a bladder cuff is the preferred technique.
1973年至1988年期间共治疗了31例输尿管癌患者。其中男性23例,女性8例。平均年龄为57.1岁,通常发生在40至60岁之间(77.4%)。74.2%的肿瘤生长超过T2级。所有肿瘤均位于输尿管中下段。由于诊断技术的进步,发现此类病变的发病率有上升趋势。讨论了诊断延误的原因。强调了包括全输尿管逆行肾盂造影和输尿管镜直视活检的重要性。肾输尿管切除术加膀胱袖口切除是首选的手术方法。