Fang Wen-Kuei, Jou Yeong-Chin, Dai Yuan-Chang, Ko Pi-Chan, Huang Ya-Fang
Department of Surgery, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan.
Department of Pathology, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan.
Tzu Chi Med J. 2018 Jan-Mar;30(1):41-43. doi: 10.4103/tcmj.tcmj_82_17.
Upper tract urothelial cancer (UTUC) arises from the urothelial lining of the urinary tract. UTUC spreads in several different ways including direct invasion, lymphatic spread, and hematogeneous metastases. Regional lymph nodes are commonly the initial site of metastasis, followed by the liver, lung, and bone. Brain metastasis is uncommon in patients with urothelial carcinoma. Here, we report an uncommon case of kidney urothelial carcinoma with brain metastasis in a 55-year-old woman presenting with dysarthria with right side limb weakness. The patient recovered well after resection of the brain lesion without any sequelae after 1 year of follow-up.
上尿路尿路上皮癌（UTUC）起源于尿路的尿路上皮。UTUC以几种不同的方式扩散，包括直接侵犯、淋巴转移和血行转移。区域淋巴结通常是转移的初始部位，其次是肝脏、肺和骨。脑转移在尿路上皮癌患者中并不常见。在此，我们报告一例罕见的55岁女性肾尿路上皮癌伴脑转移病例，该患者表现为构音障碍和右侧肢体无力。患者在切除脑病变后恢复良好，随访1年后无任何后遗症。
