Yagi M, Fujioka H, Takaha M, Shin K
Hinyokika Kiyo. 1983 Feb;29(2):227-32.
A case of primary amyloidosis of the ureter is presented. The patient was a 48-year-old woman with a 5-year history of asymptomatic macrohematuria. Roentgenographic examination showed left hydronephrosis and stenosis of the left distal ureter. Histological examination of the biopsied specimen during the operation revealed no malignancy; and, left partial ureterectomy and uretero- vesiconeostomy was performed. Congo red stain proved amyloid deposition after surgery. Rectal biopsy was negative for amyloid; and, other laboratory findings were within normal range. Thus it was diagnosed as a primary localized amyloidosis of the ureter. Importance of intraoperative histologic examination was discussed. This is the 22nd case in the literature.
本文报告一例输尿管原发性淀粉样变性病例。患者为48岁女性,有无症状肉眼血尿病史5年。X线检查显示左肾积水及左输尿管远端狭窄。手术中活检标本的组织学检查未发现恶性肿瘤;遂行左半输尿管切除术及输尿管膀胱吻合术。术后刚果红染色证实有淀粉样物质沉积。直肠活检淀粉样物质阴性;其他实验室检查结果均在正常范围内。因此,诊断为输尿管原发性局限性淀粉样变性。文中讨论了术中组织学检查的重要性。这是文献报道的第22例病例。