Kunimi K, Uchibayashi T, Yamamoto H, Hasegawa T, Kadono Y, Ohkawa M
Department of Urology, School of Medicine, Kanazawa University, Japan.
Int Urol Nephrol. 1995;27(1):37-42. doi: 10.1007/BF02575218.
A case of skipped lesion of lymph node metastasis of left ureteral tumour with concurrent carcinoma in situ in the affected ureter is presented. Postoperatively, lymph node metastasis was de novo detected in the left retrocrural and renal hilar regions on CT scan, although only the obturator lymph node was histologically metastatic among the regional lymph nodes completely dissected. The possible explanations of this rare metastatic mode are discussed.
本文报告1例左输尿管肿瘤淋巴结转移跳跃性病灶,同时患侧输尿管存在原位癌。术后CT扫描发现左膈脚后和肾门区域出现新发淋巴结转移,尽管在完全清扫的区域淋巴结中,仅闭孔淋巴结存在组织学转移。本文讨论了这种罕见转移模式的可能原因。