Matsuda J, Kamizuru M, Bessho H, Terada T, Kim M
Department of Urology, Shirasagi Hospital.
Hinyokika Kiyo. 1997 Jul;43(7):501-3.
We report a case of bilateral upper urinary tract tumors after total cystectomy. A 67-year-old male with multiple bladder tumors underwent total cystectomy and ileal conduit urinary diversion. Pathological diagnosis was transitional cell carcinoma, grade 3 (G3), pT1b. Followup urinary cytology continued to be negative. Percutaneous antegrade pyelography revealed multiple bilateral upper urinary tract tumors 21 months post-operatively. Bilateral nephroureterectomy and resection of ileal conduit were performed. Pathological examination revealed transitional cell carcinoma, G3 in bilateral pelvis and ureter. Routine careful examination is necessary after total cystectomy.
我们报告一例全膀胱切除术后双侧上尿路肿瘤的病例。一名67岁患有多发性膀胱肿瘤的男性接受了全膀胱切除术及回肠代膀胱术。病理诊断为移行细胞癌，3级（G3），pT1b。后续尿液细胞学检查持续为阴性。术后21个月，经皮顺行肾盂造影显示双侧上尿路多发肿瘤。遂行双侧肾输尿管切除术及回肠代膀胱切除术。病理检查显示双侧肾盂和输尿管为移行细胞癌，G3级。全膀胱切除术后进行常规仔细检查很有必要。
