Schwab A, Merkle P, Bader H
Chirurg. 1986 Jun;57(6):394-6.
Carcinoma or polyps of the colon as a late complication of ureterosigmoidostomia (USS) have been reported with increasing frequency. Three patients are presented, two of them developed a signet-ring cell carcinoma after USS; one patient showed, 6 years after rediversion of the ureter, a carcinoma at the anastomotic site. Changes in the secretion patterns of sialo- and sulphomucines of the tumor and mucosa are histochemically demonstrated and, together with an appraisal of etiologic factors, discussed. We suggest a careful follow-up of patients with USS, particularly of those performed many years ago.
输尿管乙状结肠吻合术（USS）的晚期并发症——结肠癌或结肠息肉的报道日益增多。本文报告了3例患者，其中2例在输尿管乙状结肠吻合术后发生了印戒细胞癌；1例患者在输尿管改道6年后，吻合部位出现了癌。通过组织化学方法证实了肿瘤和黏膜中唾液酸黏液和硫酸黏液分泌模式的变化，并结合病因学因素进行了讨论。我们建议对输尿管乙状结肠吻合术患者，尤其是多年前接受该手术的患者进行仔细随访。
