Awakura Y, Mizutani Y, Kakehi Y, Terachi T, Okada Y, Yoshida O, Fukami M
Department of Urology, Faculty of Medicine, Kyoto University, Japan.
Hinyokika Kiyo. 1996 Feb;42(2):135-8.
A case of localized amyloidosis of the ureter is reported. The patient was a 49-year-old female whose chief complaint was macrohematuria. Roentogenographic examination showed left hydronephrosis due to stenosis of left middle ureter. Left nephrouretectomy with cuff was performed with a diagnosis of the left ureteral tumor, and pathological examination revealed localized amyloidosis of the left ureter. Localized amyloidosis of the ureter is a rare lesion, and this is the twenty-first case reported in the Japanese literature. Review of the literature revealed that it is difficult to differentiate this lesion from other ureteral tumors by roentgenographic examination, and it is important to perform preoperative or intraoperative biopsy of ureteral tumors if benign diseases cannot be ruled out.
报告一例输尿管局限性淀粉样变性病例。患者为49岁女性,主要症状为肉眼血尿。X线检查显示左中输尿管狭窄导致左肾积水。因诊断为左输尿管肿瘤,行左肾输尿管袖状切除术,病理检查显示左输尿管局限性淀粉样变性。输尿管局限性淀粉样变性是一种罕见病变,这是日本文献报道的第21例。文献回顾显示,通过X线检查很难将此病变与其他输尿管肿瘤区分开来,如果不能排除良性疾病,对输尿管肿瘤进行术前或术中活检很重要。