Dufour B, Lepage T, Choquenet C
Service d'Urologie B, Hôpital Necker, Paris.
J Urol (Paris). 1988;94(1):15-7.
A retrospective study of cases seen between 1975 and 1985 showed 24 tumors of upper urinary tract secondary to primary bladder localizations. These secondary localizations developed during evolution of multi-resected recurring bladder tumors, within a mean period of 15 months after discovery of a secondary vesicorenal reflux. This reflux is acquired constantly during the course of these tumors and it is undoubtedly responsible for the onset of these upper tract tumoral grafts. These findings suggest the need for urographic surveillance combined with regular endoscopic examinations of patients with bladder tumors, for prevention of reflux during endoscopic resections and for treatment of any reflux detected.
一项对1975年至1985年间所诊治病例的回顾性研究显示，有24例上尿路肿瘤继发于原发性膀胱肿瘤。这些继发性肿瘤发生于多次切除的复发性膀胱肿瘤进展过程中，在发现继发性膀胱肾反流后的平均15个月内出现。这种反流在这些肿瘤病程中持续存在，无疑是这些上尿路肿瘤移植发生的原因。这些发现提示，对于膀胱肿瘤患者，需要进行尿路造影监测并定期进行内镜检查，以预防内镜切除过程中的反流，并治疗检测到的任何反流。
