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[根治性膀胱切除术后双侧上尿路肿瘤1例]

[A case of bilateral upper urinary tract tumors after radical cystectomy].

作者信息

Matsuda J, Kamizuru M, Bessho H, Terada T, Kim M

机构信息

Department of Urology, Shirasagi Hospital.

出版信息

Hinyokika Kiyo. 1997 Jul;43(7):501-3.

PMID:9282297
Abstract

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.

摘要

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。

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