Wojewski A, Zajaczkowski T
Int Urol Nephrol. 1976;8(2):99-106. doi: 10.1007/BF02082204.
A review of the clinical data of 22 patients with malignant tumours of the renal pelvis, accounting for 10% of the total patient material of renal tumours, is presented. The earliest manifestation was prevalently haematuria, less often pain. In two thirds of the cases the diagnosis was established on radiological evidence and in one third the process remained undetected until surgical exposure of the kidney. The diagnostic difficulties involved by tumours of the renal pelvis and the value of the diagnostic methods are discussed. Nephroureterectomy with excision of a cuff of bladder was carried out in 15, nephrectomy in 5 cases. Three of the 22 patients have survived five years. Early diagnosis followed by total nephroureterectomy without delay may bring some improvement in the poor prognosis of these tumours.
本文对22例肾盂恶性肿瘤患者的临床资料进行了回顾，这些患者占肾肿瘤患者总数的10%。最早的表现主要是血尿，疼痛较少见。三分之二的病例通过放射学证据确诊，三分之一的病例直到手术暴露肾脏时才被发现。文中讨论了肾盂肿瘤所涉及的诊断困难以及诊断方法的价值。15例行肾输尿管切除术并切除膀胱袖口状组织，5例行肾切除术。22例患者中有3例存活了5年。早期诊断后立即行全肾输尿管切除术可能会改善这些肿瘤的不良预后。
