Colombo T, Altziebler S, Primus G, Kröll W, Onetto F, Ratschek M, Petritsch P H
Universitätsklinik für Urologie, Graz.
Urologe A. 1995 Nov;34(6):489-93.
We report five cases of nephrogenic adenoma that arose several years after cadaver kidney transplantation. Cystoscopy was performed in all patients because of gross haematuria and revealed multifocal tumorous lesions in all parts of the bladder. On admission to of hospital graft function was satisfactory in all patients. There were three female and two male patients. In all patients the therapeutic procedure consisted of transurethral resection. Only very small lesions were fulgurated. Postoperatively an indwelling catheter was left in place for 2-4 days, and after a check on kidney parameters and immunosuppressive therapy all patients were discharged. Postoperative management consisted in cystoscopy every 3 months in the first year and then every 6 months. Though the etiology of nephrogenic adenoma remains unclear, mechanical traumatization and recurrent urinary tract infection seem to be the most important factors in its development.
我们报告了5例在尸体肾移植数年之后发生的肾源性腺瘤病例。所有患者均因肉眼血尿接受了膀胱镜检查，结果显示膀胱各部位均有多发肿瘤性病变。入院时所有患者的移植肾功能均良好。有3名女性患者和2名男性患者。所有患者的治疗方法均为经尿道切除术。只有非常小的病变进行了电灼。术后留置导尿管2 - 4天，在检查肾脏参数并调整免疫抑制治疗后，所有患者均出院。术后管理包括在第一年每3个月进行一次膀胱镜检查，之后每6个月进行一次。虽然肾源性腺瘤的病因尚不清楚，但机械性创伤和复发性尿路感染似乎是其发生发展的最重要因素。
