Liul'ko A V, Gorev B S
Vopr Onkol. 1981;27(1):92-5.
During the recent 18 years 13 patients aged 39-62 years with primary ureteral tumors were observed. The principal clinical symptoms were hematuria, pain in the lumbar region, a palpated kidney. the main diagnostic methods were as follows: cystoscopy, catheterization of the ureter, excretory urography (in early stages of the disease), retrograde ureteropyelography or antegrade pyeloureterography. Only radical surgery--nephro-ureteroectomy with resection of the urinary bladder wall around the ureteral ostium, performed in early stages, yields satisfactory results in 50-60% of cases. Indications to some or other kind of surgery should be formuated on the basis of express-biopsy results.
在最近18年里,观察了13例年龄在39至62岁之间的原发性输尿管肿瘤患者。主要临床症状为血尿、腰部疼痛、可触及肾脏。主要诊断方法如下:膀胱镜检查、输尿管插管、排泄性尿路造影(疾病早期)、逆行输尿管肾盂造影或顺行肾盂输尿管造影。只有在疾病早期进行的根治性手术——肾输尿管切除术并切除输尿管口周围的膀胱壁,才能在50%至60%的病例中取得满意的效果。应根据快速活检结果确定是否进行某种手术的指征。