输尿管双侧同期癌。附 1 例报告并文献复习
Synchronous Bilateral Carcinoma of the Ureters. Report of a Case and a Short Discussion of the Literature.
机构信息
Department of Urology, General Hospital of Katerini, Katerini, Greece
Department of Anatomy and Surgical Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
出版信息
In Vivo. 2020 Jul-Aug;34(4):2057-2060. doi: 10.21873/invivo.12007.
BACKGROUND/AIM: The strategy for treatment of bilateral simultaneous renal pelvic and/or ureteral tumors has not been established and is dependent on individual decision.
CASE REPORT
We herein report the case of an elderly man who was examined for fatigue at the emergency department and subsequently diagnosed with bilateral ureteral cancer. The most common histologic type of ureteral cancer is urothelial (transitional epithelium) cancer and though it is rare, it can be synchronously present in the contralateral ureter. Computed tomography-urography (CTU) has very good results regarding diagnosis and surgical treatment and -though not preferred in our case-, it has shown promising results.
CONCLUSION
We believe that conservative treatment is a viable therapeutic option for simultaneous bilateral renal pelvic and/or ureteral tumors in selected patients. Yet, this treatment has seldom been performed, although standard therapy with bilateral nephroureterectomy inevitably requires the support of hemodialysis or renal transplantation.
背景/目的：双侧同时性肾盂和/或输尿管肿瘤的治疗策略尚未确定，取决于个体决策。
病例报告
我们在此报告一例老年男性因疲劳在急诊科就诊，随后被诊断为双侧输尿管癌。输尿管癌最常见的组织学类型是尿路上皮（移行上皮）癌，虽然很少见，但也可能同时存在于对侧输尿管。计算机断层尿路造影（CTU）在诊断和手术治疗方面具有非常好的效果，尽管在我们的病例中不首选，但它显示出了有前景的结果。
结论
我们认为，对于选择性患者，保守治疗是同时性双侧肾盂和/或输尿管肿瘤的可行治疗选择。然而，尽管双侧肾输尿管切除术的标准治疗必然需要血液透析或肾移植的支持，但这种治疗方法很少实施。
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