肾细胞癌根治性肾切除术后输尿管残端原发性肿瘤：病例报告及文献复习
Primary tumor of the ureteral stump after a radical nephrectomy for renal cell carcinoma: case report and literature review.
作者信息
Masago Toshihiko, Naka Takuji, Yoshida Haruhiko, Takahashi Chihiro
机构信息
Division of Urology, Yonago Medical Center, 4-17-1 Kuzumo, Yonago, Tottori 683-0006 Japan.
Division of Surgery, Yonago Medical Center, Yonago, Tottori Japan.
出版信息
Int Cancer Conf J. 2019 Mar 20;8(3):126-129. doi: 10.1007/s13691-019-00369-3. eCollection 2019 Jul.
We report a case of ureteral stump carcinoma following a radical nephrectomy for renal cell carcinoma. A 76-year-old man was diagnosed as having ascending colon cancer and a right renal carcinoma. He was treated with partial colon resection and radical nephrectomy without lymphadenectomy. The histology was renal cell carcinoma. Three years after that surgery, he complained of intermittent macrohematuria. Abdominal computed tomography (CT) suggested a solid mass in the pelvis. We then performed a biopsy with CT guidance. An epithelial tumor was suspected by immunohistochemistry. A total excision of ureter was then performed. The histology showed the features of urothelial carcinoma, G3, v(+), pT3. He received adjuvant chemotherapy with gemcitabine and cisplatin. He was free of disease for the following 11 months.
我们报告一例肾细胞癌根治性肾切除术后发生的输尿管残端癌病例。一名76岁男性被诊断为升结肠癌和右肾癌。他接受了部分结肠切除术和根治性肾切除术，未进行淋巴结清扫。组织学检查为肾细胞癌。该手术后三年，他主诉间歇性肉眼血尿。腹部计算机断层扫描（CT）显示盆腔有一实性肿块。随后我们在CT引导下进行了活检。免疫组化怀疑为上皮性肿瘤。接着进行了输尿管全切术。组织学检查显示为尿路上皮癌特征，G3，v（+），pT3。他接受了吉西他滨和顺铂辅助化疗。在接下来的11个月里他无疾病复发。
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