Charron J, Delisle R
Can J Surg. 1982 May;25(3):253-7.
The case of a 58-year-old man who had carcinomatous change in the sigmoid colon many years after ureterosigmoidostomy prompted the authors to review the French and English literature on the subject. They found 47 cases in addition to their own, and noted a dramatic increase in the last 10 years, even though ureterosigmoidostomy is now seldom used. The latency of this complication makes it pertinent today. In the hope of determining the etiology of the complication, the authors studied the relation between the initial lesion for which the diversion was carried out and the nature of the colonic tumour that ensued, and have attempted to draw some conclusions. None of the current theories of pathogenesis seem satisfactory. By underlying the early clinical manifestations, the authors attempt to promote earlier diagnosis and better chances of survival for patients with carcinoma of the colon after ureterosigmoidostomy.
一名58岁男性在输尿管乙状结肠吻合术后多年出现乙状结肠癌变，这促使作者回顾了法语和英语文献中关于该主题的内容。除了他们自己的病例外，他们还发现了47例，并注意到尽管输尿管乙状结肠吻合术现在很少使用，但在过去10年中这种情况显著增加。这种并发症的潜伏期使得它在今天仍具有相关性。为了确定该并发症的病因，作者研究了进行改道的初始病变与随后发生的结肠肿瘤性质之间的关系，并试图得出一些结论。目前的发病机制理论似乎都不尽人意。通过强调早期临床表现，作者试图促进对输尿管乙状结肠吻合术后结肠癌患者的早期诊断，并提高其生存几率。
