Anselmo G, Rizzotti A, Felici E, Bassi E, Maccatrozzo L
Department of Urology, Regional Hospital, Treviso, Italy.
Br J Urol. 1987 Oct;60(4):312-5. doi: 10.1111/j.1464-410x.1987.tb04974.x.
Three cases of simultaneous bilateral transitional cell carcinoma of the renal pelvis are reported. In one case the bladder and urethra were also involved. The information provided by radiological studies (particularly renal angiography) and cytology allowed us to define with accuracy not only tumour sites but also the tumour itself and the degree of malignancy. Based on the latter finding, the surgical approach was adapted to each individual case and consisted of papillectomy, partial pyelectomy or heminephrectomy associated with contralateral nephroureterectomy. In one case total cystourethrectomy was performed. Long-term follow-up showed no recurrence in the residual urinary tract 5 to 8 years post-operatively.
报告了3例双侧肾盂同时发生移行细胞癌的病例。其中1例膀胱和尿道也受累。放射学检查（特别是肾血管造影）和细胞学提供的信息使我们不仅能够准确确定肿瘤部位，还能确定肿瘤本身及恶性程度。基于后者的发现，手术方法根据每个病例进行调整，包括乳头切除术、部分肾盂切除术或半肾切除术并联合对侧肾输尿管切除术。1例患者进行了全膀胱尿道切除术。长期随访显示术后5至8年残余尿路无复发。
