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[功能性孤立肾患者行输尿管部分切除术治疗输尿管鳞状细胞癌:一例报告]

[Squamous cell carcinoma of ureter in a patient with functional solitary kidney treated by partial ureterectomy: a case report].

作者信息

Arisawa C, Ando M, Okano T

机构信息

Department of Urology, East Tokyo Metropolitan Hospital.

出版信息

Hinyokika Kiyo. 1996 Nov;42(11):899-901.

PMID:8973944
Abstract

We report a case of squamous cell carcinoma of ureter. A 60-year-old female was referred to our hospital for the right hydronephrosis and the left atrophic kidney. She had been suffering from severe renal dysfunction and had hemodialysis a month earlier. Retrograde and antegrade right pyelography revealed complete obstruction of the right lower ureter about 2 cm in length. Transcutaneous retrograde left pyelography revealed vesicoureteral junction stenosis. After improvement of the renal function by transcutaneous right nephrostomy, the patient underwent right partial ureterectomy. Pathological examination revealed squamous cell carcinoma, grade 2, pT3 in the right ureter. Neither local recurrence nor distant metastasis has occurred for 19 months and the patient retains moderate renal function. We reviewed sixty-four cases of ureteral squamous cell carcinoma in the Japanese literature and discussed the renal parenchymal sparing surgery for the disease.

摘要

我们报告一例输尿管鳞状细胞癌。一名60岁女性因右侧肾积水和左侧萎缩肾转诊至我院。她一直患有严重的肾功能不全,一个月前接受了血液透析。逆行和顺行右肾盂造影显示右输尿管下段约2厘米长完全梗阻。经皮逆行左肾盂造影显示膀胱输尿管连接部狭窄。经皮右肾造瘘改善肾功能后,患者接受了右侧部分输尿管切除术。病理检查显示右侧输尿管鳞状细胞癌,2级,pT3。19个月来未发生局部复发或远处转移,患者肾功能保持中等水平。我们回顾了日本文献中64例输尿管鳞状细胞癌病例,并讨论了该疾病的保留肾实质手术。

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