Begara Morillas F, Ramírez Fernández J C, Hermida Gutiérrez J, Rodríguez Molina J, Chicharro Almarza J, Blanco E, Corral Rosillo J, Luengo Alpuente S, Silmi Moyano A, Resel Estévez L
Cátedra de Urología, Hospital Universitario San Carlos, Madrid, España.
Arch Esp Urol. 1996 Jan-Feb;49(1):27-33.
The result of an epidemiological study and evaluation of diagnosis and treatment of transitional cell tumors of the upper urinary tract are presented.
A retrospective study was conducted on 34 patients with transitional cell tumor of the upper urinary tract.
The most common symptom was intermittent hematuria. Smoking was found to be the most important risk factor and 41.7% of the cases previously had a bladder cancer. IVP was the diagnostic technique most commonly utilized (61.7%). Nephroureterectomy was performed in 58.8% of the cases. Six cases had recurrence of the upper urinary tract tumor. There were 9 deaths (26.5%).
The epidemiological data are similar to those of larger series. The tumors appear to develop in the presence of generalized urothelial disease. The low incidence of recurrence in the ipsilateral ureteral meatus indicates that resection of the distal ureter may not be required in patients at high risk.
介绍一项关于上尿路移行细胞肿瘤的流行病学研究结果以及诊断和治疗评估。
对34例上尿路移行细胞肿瘤患者进行回顾性研究。
最常见症状为间歇性血尿。吸烟被发现是最重要的危险因素，41.7%的病例既往有膀胱癌病史。静脉肾盂造影（IVP）是最常用的诊断技术（61.7%）。58.8%的病例进行了肾输尿管切除术。6例出现上尿路肿瘤复发。9例死亡（26.5%）。
流行病学数据与更大样本系列的相似。肿瘤似乎在广泛性尿路上皮疾病存在的情况下发生。同侧输尿管口复发率低表明，高危患者可能无需切除远端输尿管。
