Yamaguchi S, Nishihara M, Okamura K, Hashimoto H, Inada F, Yachiku S
Department of Urology, Asahikawa Medical College.
Hinyokika Kiyo. 1987 Dec;33(12):2103-10.
Squamous cell carcinoma of renal pelvis is relatively rare and its prognosis is very poor. A 72-year-old man was introduced to our institute because of macroscopic hematuria. He had no history of urolithiasis or urinary tract infection. Excretory urography showed a nonfunctioning right kidney. Cytologic examination of urine was positive for malignant cell from squamous cell carcinoma. Preoperative diagnosis was made as right renal pelvic tumor, but it appeared to be renal tumor on the roentgenogram. Right radical nephrectomy and transurethral ureterectomy was performed. Radiation therapy was done after operation. Pathological diagnosis was squamous cell carcinoma of renal pelvis extensively infiltrating to the renal parenchyma. The patient is alive with no recurrence or metastasis for eight months after operation. Statistical analysis was made on 136 cases of squamous cell carcinoma of renal pelvis reported in the Japanese literature including our case, and this disease is also briefly reviewed.
肾盂鳞状细胞癌相对少见,其预后很差。一名72岁男性因肉眼血尿被转诊至我院。他无尿路结石或尿路感染病史。排泄性尿路造影显示右肾无功能。尿液细胞学检查发现鳞状细胞癌恶性细胞阳性。术前诊断为右肾盂肿瘤,但在X线片上显示为肾肿瘤。行右根治性肾切除术及经尿道输尿管切除术。术后进行了放射治疗。病理诊断为肾盂鳞状细胞癌,广泛浸润肾实质。患者术后8个月存活,无复发或转移。对包括本病例在内的日本文献报道的136例肾盂鳞状细胞癌病例进行了统计分析,并对该疾病进行了简要综述。