Sugao H, Takiuchi H, Kojima Y, Yokokawa K, Sakurai T, Kobayashi Y
Department of Urology, Osaka Kosei-Nenkin Hospital.
Hinyokika Kiyo. 1988 Sep;34(9):1645-9.
A case of primary adenocarcinoma of the ureter, associated with severe hypocalcemia in a 73-year-old man is reported. The patient had undergone left nephrectomy for pyonephrosis due to a ureteral stone, 29 years previously. On November 4, 1986, he visited the hospital with dysuria and overflow incontinence as the chief complaints. He was admitted with suspicion of prostatic carcinoma, but prostatic stones and chronic prostatitis were proven. However, urine cytology showed adenocarcinoma cells, and a ureteral tumor was found at the right ureterovesical junction. On December 10, right partial ureterectomy, total cystectomy and right ureterocutaneostomy were performed. Moderately differentiated, invasive adenocarcinoma was found at the right ureteral end, 1.5 cm in length and in part poorly differentiated transitional cell carcinoma was present continuously to the adenocarcinoma. Hypocalcemia was cured easily with activated vitamin D3. The patient, 9 months after the operation, is apparently free of the ureteral tumor.
报告一例73岁男性原发性输尿管腺癌伴严重低钙血症的病例。该患者29年前因输尿管结石导致肾积脓接受了左肾切除术。1986年11月4日，他因排尿困难和充溢性尿失禁为主诉就诊。因怀疑前列腺癌入院，但证实为前列腺结石和慢性前列腺炎。然而，尿液细胞学检查显示腺癌细胞，在右侧输尿管膀胱连接处发现输尿管肿瘤。12月10日，进行了右侧部分输尿管切除术、全膀胱切除术和右侧输尿管皮肤造口术。在右侧输尿管末端发现中分化浸润性腺癌，长1.5 cm，部分为低分化移行细胞癌，与腺癌连续存在。活性维生素D3可轻松治愈低钙血症。术后9个月，患者输尿管肿瘤明显消失。
