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输尿管纤维上皮性息肉:一项诊断挑战。

Ureteral fibroepithelial polyp: A diagnostic challenge.

作者信息

Kumar Raj A, Maidaa Michael, Frankel Jon, Bird Vincent, Kumar Udaya

机构信息

Catherine & Joseph Aresty Department of Urology, Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA.

Department of Urology, University of Florida College of Medicine, University of Florida, Gainesville, FL, USA.

出版信息

Urol Case Rep. 2021 Nov 9;40:101940. doi: 10.1016/j.eucr.2021.101940. eCollection 2022 Jan.

DOI:10.1016/j.eucr.2021.101940
PMID:34820289
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8602012/
Abstract

Ureteral fibroepithelial polyps (UFP) are relatively rare, benign tumors. A total of 236 total cases were documented between 1932 and 2013. Notably, imaging studies, including computerized tomography (CT) and magnetic resonance imaging (MRI) are often negative. This report details a case of a patient with a UFP who presented with hematuria. CT suggested a possible 1.8 cm mass, but subsequent MRI was negative. Cystoscopy showed a polyp that prolapsed out of the left ureter and into the bladder with peristalsis. The patient subsequently underwent retrograde ureteroscopy and holmium laser excision of the polyp.

摘要

输尿管纤维上皮息肉(UFP)是相对罕见的良性肿瘤。1932年至2013年间共记录了236例病例。值得注意的是,包括计算机断层扫描(CT)和磁共振成像(MRI)在内的影像学检查结果通常为阴性。本报告详细介绍了一例患有输尿管纤维上皮息肉且出现血尿的患者。CT检查提示可能存在一个1.8厘米的肿块,但随后的MRI检查结果为阴性。膀胱镜检查显示有一个息肉随着蠕动从左输尿管脱出并进入膀胱。该患者随后接受了逆行输尿管镜检查及钬激光息肉切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69b6/8602012/c12925e2e9c4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69b6/8602012/a4f2d7f1758a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69b6/8602012/a1a3c35f6e78/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69b6/8602012/c12925e2e9c4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69b6/8602012/a4f2d7f1758a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69b6/8602012/a1a3c35f6e78/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69b6/8602012/c12925e2e9c4/gr3.jpg

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Snake-shaped tumor protruding from an ureteral orifice: a case of a long ureteral fibroepithelial polyp successfully resected ureteroscopically.
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The natural course of incidental ureteral polyp during ureteroscopic surgery: KSER research.输尿管镜手术中偶然发现的输尿管息肉的自然病程:KSER 研究。

本文引用的文献

1
Ureteral polyps protruding from the urethra.输尿管息肉从尿道突出。
BMC Urol. 2021 Feb 10;21(1):22. doi: 10.1186/s12894-021-00786-8.
2
Robot-assisted right ureteral polypectomy: A case report.机器人辅助右输尿管息肉切除术:一例报告。
Can Urol Assoc J. 2013 May-Jun;7(5-6):E426-9. doi: 10.5489/cuaj.1392.
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Endoscopic treatment of fibroepithelial polyps of the renal pelvis and ureter.肾盂和输尿管纤维上皮息肉的内镜治疗
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