Saussine C, Lang H
Service de chirurgie urologique, CHU Strasbourg Hôpital Civil, Strasbourg.
Rev Prat. 1997 Feb 15;47(4):369-401.
Most tumors of the upper urinary tract are epithelial tumors from transitional cell origin. They are more frequent in the renal pelvis than in the ureter. They may be single or multiple and rarely bilateral. Gross hematuria is the most common presenting form. Computed tomography is useful both in the diagnosis and staging and is much more contributive than intravenous pyelography. Nephroureterectomy with a bladder cuff is the standard treatment for upper tract tumors. In selected cases are low grade and low stage tumors, conservative surgery can be discussed with similar longterm results than radical surgery.
大多数上尿路肿瘤是起源于移行细胞的上皮性肿瘤。它们在肾盂比在输尿管更常见。可为单发或多发,很少双侧发病。肉眼血尿是最常见的表现形式。计算机断层扫描在诊断和分期中都很有用,比静脉肾盂造影更有帮助。带膀胱袖状切除术的肾输尿管切除术是上尿路肿瘤的标准治疗方法。在某些低级别和低分期肿瘤的病例中,可以讨论采用保守手术,其长期效果与根治性手术相似。