Dunn M, Roberts J B, Smith P J
Br J Urol. 1979 Aug;51(4):260-3. doi: 10.1111/j.1464-410x.1979.tb04705.x.
Two cases of benign tumours complicating ureterosigmoidostomy are described. The latent period between diversion and the development of tumour is long and careful follow-up of patients with ureterosigmoidostomy is recommended. It would seem highly probable that adenomatous polyps developing at the site of anastomosis may, if undetected, undergo malignant change to adenocarcinoma. All of the tumours recorded following ureterosigmoid diversion have been associated with a nipple type ureterocolic anastomosis and mucosa-to-mucosa anastomosis may possibly prevent this complication.
本文描述了两例输尿管乙状结肠造口术并发良性肿瘤的病例。改道与肿瘤发生之间的潜伏期很长,建议对输尿管乙状结肠造口术患者进行仔细随访。吻合口处发生的腺瘤性息肉如果未被发现,很可能会恶变为腺癌。输尿管乙状结肠改道术后记录的所有肿瘤均与乳头型输尿管结肠吻合术有关,黏膜对黏膜吻合术可能会预防这种并发症。