Weinstein T, Zevin D, Kyzer S, Korzets A, Halperin M, Luria B, Levi J
Department of Nephrology, Tel-Aviv Medical School, Hasharon Hospital, Petah Tikva, Israel.
Clin Nephrol. 1995 Aug;44(2):125-7.
In recent years, adenocarcinoma of the colon mucosa has become a recognized complication of ureterosigmoidostomy and in most cases the tumor arises at the site of ureterocolonic anastomosis. We report a case of a 29-year-old renal transplant recipient who developed two colonic carcinomas at the site of ureterosigmoidostomy 25 years after the urinary diversion and 15 years after conversion to an ileal conduit. This case emphasizes the need for a careful life-long follow-up of all patients who undergo ureterosigmoidostomy.
近年来，结肠黏膜腺癌已成为输尿管乙状结肠吻合术公认的一种并发症，且在大多数情况下，肿瘤发生于输尿管结肠吻合部位。我们报告一例29岁的肾移植受者，其在尿路改道25年后、转为回肠代膀胱15年后，在输尿管乙状结肠吻合部位发生了两处结肠癌。该病例强调了对所有接受输尿管乙状结肠吻合术的患者进行终身仔细随访的必要性。
