Shibahara N, Okada S, Onishi S, Yasuta H, Ohara H, Hamada K, Takasaki N
Department of Urology, Osaka Medical School.
Hinyokika Kiyo. 1988 Oct;34(10):1789-93.
A 42-year-old male who had undergone the total nephroureterectomy for transitional cell carcinoma (Grade 3) in the left renal pelvis 5 years ago was seen with asymptomatic macroscopic hematuria. An evaluation of the clinical investigations revealed the right renal pelvic tumor. The right nephroureterectomy was performed and histological examination showed transitional cell carcinoma (Grade 2) of the renal pelvis. Postoperatively, the patient has been treated with intermittent maintenance hemodialysis. He is well and has no evidence of recurrence or metastasis 10 months after the surgery. The previous reports of bilateral renal pelvic tumors (28 cases) are reviewed and the incidence, age, interval between the first and second tumors, prognosis and management including postoperative hemodialysis are discussed.
一名42岁男性，5年前因左肾盂移行细胞癌（3级）接受了全肾输尿管切除术，现出现无症状肉眼血尿。临床检查评估发现右肾盂肿瘤。遂行右肾输尿管切除术，组织学检查显示为肾盂移行细胞癌（2级）。术后，患者接受间歇性维持性血液透析治疗。术后10个月，患者情况良好，无复发或转移迹象。回顾了既往双侧肾盂肿瘤的报道（28例），并讨论了其发病率、年龄、首次和第二次肿瘤之间的间隔、预后以及包括术后血液透析在内的治疗方法。
