Díaz Calleja E, Calatrava Gadea S, Baeza Guixot R, Moreno Pérez F, Lapuerta Torres E, García Víctor F, Sánchez Cañizares P
Servicio de Urología, Hospital Francisco de Borja, Valencia, España.
Arch Esp Urol. 1997 Mar;50(2):189-92.
To describe a case of inverted carcinoma of the right renal pelvis associated with transitional cell carcinoma of the bladder. The unusual nature of this condition and the incidence of tumor recurrence in some patients with bladder cancer and, at least initially, no histopathological evidence of infiltrating tumor prompted us to report this case.
METHODS/RESULTS: A 65-year-old male consulted for prostatism. Several months earlier he had had an episode of hematuria. The difficulty in making the diagnosis is underscored and the possibility of conservative surgical management is discussed. Tumor recurrence at two sites distinct from that of the bladder tumor warranted TUR. Two years after the first surgical procedure the patient is disease-free.
Like most authors, we usually perform radical surgery in these cases. However, in the case described herein, the difficulty in making the diagnosis prompted us to use a conservative approach which, at the present time, appears to have been effective for the renal tumor. New treatment options, like endourological surgery, may have an important place in the management of this tumor type in carefully selected cases.
描述一例右肾盂内翻性癌合并膀胱移行细胞癌的病例。这种情况的特殊性以及部分膀胱癌患者肿瘤复发的发生率，且至少在最初没有浸润性肿瘤的组织病理学证据，促使我们报告此病例。
方法/结果：一名65岁男性因前列腺增生前来就诊。几个月前他曾出现过一次血尿。强调了诊断的困难，并讨论了保守手术治疗的可能性。与膀胱肿瘤不同部位的肿瘤复发需要经尿道膀胱肿瘤切除术（TUR）。首次手术两年后，患者无疾病复发。
与大多数作者一样，我们通常在这些病例中进行根治性手术。然而，在本文所述的病例中，诊断的困难促使我们采用保守方法，目前看来这种方法对肾肿瘤有效。新的治疗选择，如腔内泌尿外科手术，在精心挑选的病例中可能在这种肿瘤类型的治疗中占有重要地位。
