Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Department of Urinary Surgery, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
J Int Med Res. 2023 Oct;51(10):3000605231206958. doi: 10.1177/03000605231206958.
Duodenal stenosis caused by upper tract urothelial carcinoma (UTUC) is rare. A 70-year-old male patient was diagnosed with a UTUC invading the duodenum 3 months before admission. Owing to duodenal stenosis, enteral nutrition was necessary. We performed pancreaticoduodenectomy with right nephroureterectomy and right hemicolectomy using a multi-disciplinary approach. Postoperative pathology revealed a UTUC invading the right kidney, duodenum, pancreas, and transverse colon. The patient underwent chemotherapy and immunotherapy after surgery, which improved his quality of life.
因上尿路尿路上皮癌（UTUC）导致的十二指肠狭窄较为罕见。一位 70 岁男性患者，3 个月前因 UTUC 侵犯十二指肠而被诊断出该疾病，且患者存在十二指肠狭窄，需进行肠内营养。我们采用多学科方法进行胰十二指肠切除术加右肾输尿管切除术和右半结肠切除术。术后病理显示右肾盂、输尿管、十二指肠、胰腺和横结肠均有 UTUC 侵犯。患者术后接受化疗和免疫治疗，生活质量得到改善。
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