Ahmad Hussain, Mahmood Arshad, Murtaza Badar, Akmal Muhammad, Niaz Waqar Azim
Department of Urology, Armed Forces Institute of Urology (AFIU), Rawalpindi.
J Coll Physicians Surg Pak. 2014 Mar;24 Suppl 1:S63-5.
We present a 60 years old male with transitional cell carcinoma of the left ureter. The right kidney was non excretory while the left one was the solitary functioning kidney with multiple renal cysts. He had presented with significantly deranged renal profile and left obstructed ureter. The ureterorenoscope could not be negotiated so exploration of the left ureter was done. This showed a growth in left ureter, confirmed as transitional cell carcinoma (TCC) on histopathology. Subsequently excision of the distal left ureter along with the tumour and the cuff of bladder (segmental ureterectomy) was contemplated. Proximally transureteroureterostomy was performed. Postoperative recovery was smooth and the renal profile became normal within 3 months.
我们报告一名60岁男性，患有左输尿管移行细胞癌。右肾无排泄功能，而左肾是具有多个肾囊肿的孤立功能肾。他出现了明显异常的肾功能指标以及左输尿管梗阻。输尿管肾镜检查无法通过，因此对左输尿管进行了探查。结果显示左输尿管有肿物，组织病理学确诊为移行细胞癌（TCC）。随后考虑切除左输尿管远端连同肿瘤及膀胱袖口（节段性输尿管切除术）。近端进行了输尿管输尿管吻合术。术后恢复顺利，3个月内肾功能指标恢复正常。
