Williams J H, Frazier H A, Gawith K E, Laskin W B, Christenson P J
Department of Urology, National Naval Medical Center, Bethesda, Maryland 20889, USA.
Urology. 1996 Dec;48(6):932-5. doi: 10.1016/s0090-4295(96)00312-3.
Transitional cell carcinoma of the upper urinary tract with inferior vena cava tumor thrombus is an unusual entity. We report the 16th such case and review the previous cases in the world literature. Preoperative diagnosis was correct in only 5 of the cases. This type of condition can be easily presumed to be renal cell carcinoma. Fifteen of the cases were managed with radical nephrectomy; 8 patients were managed with partial or complete resection of the vena cava due to adherence of the tumor thrombus to the vessel wall. Overall outcome was poor, with short postoperative survival. Correct preoperative diagnosis, although difficult, could allow more complete preoperative planning or appropriate nonoperative management.
伴有下腔静脉瘤栓的上尿路移行细胞癌是一种罕见的疾病。我们报告第16例此类病例，并回顾世界文献中既往报道的病例。仅5例术前诊断正确。这种情况很容易被误诊为肾细胞癌。15例患者接受了根治性肾切除术；8例患者因肿瘤栓子附着于血管壁而接受了下腔静脉部分或完全切除术。总体预后较差，术后生存期短。术前正确诊断虽然困难，但可以进行更完善的术前规划或采取适当的非手术治疗。
