Rodríguez Rodríguez R, Fernández González I, Galbis Sanjuan F, Fernández Fernández E, Escudero Barrilero A, Lovaco Castellanos F
Servicio de Urología, Hospital Ramón y Cajal, Madrid, España.
Arch Esp Urol. 1995 Nov;48(9):937-43.
We reviewed our series of upper urinary tract tumors submitted to endoscopic management as definitive treatment.
The series comprised 18 patients with transitional cell carcinoma of the upper urinary tract; 14 were treated by the percutaneous approach and 4 by ureteroscopy. All of them were single, papillary and low grade tumors. In 17 patients we analyzed the nephrostomy track for local tumoral seeding.
The mean follow up was 29 months. Fourteen patients remain free of recurrent disease (5-84 months); 2 patients recurred and 2 others were diagnostic errors. No evidence of tumoral seeding was observed.
Percutaneous or ureteroscopic surgery can achieve cure in selected cases. Local recurrence outside the urinary tract ascribable to percutaneous surgery appears to be unlikely.
我们回顾了一系列接受内镜治疗作为确定性治疗的上尿路肿瘤病例。
该系列包括18例上尿路移行细胞癌患者；14例采用经皮途径治疗，4例采用输尿管镜治疗。所有肿瘤均为单发、乳头状且低级别。对17例患者的肾造瘘通道进行了局部肿瘤种植分析。
平均随访29个月。14例患者无疾病复发（5 - 84个月）；2例患者复发，另外2例为诊断错误。未观察到肿瘤种植的证据。
经皮或输尿管镜手术在部分病例中可实现治愈。经皮手术导致尿路外局部复发的可能性似乎不大。
