Fernández Gómez J M, Barmadah S E, Pérez García J, Rábade Rey C J, Rodríguez Martínez J J
Servicio de Urología, Hospital Central de Asturias, Centro Universitario, Oviedo, España.
Arch Esp Urol. 1998 Oct;51(8):829-31.
To describe a case of tumor implantation at the site of resection in the ureteral orifice, following nephroureterectomy combined with resection of the bladder cuff of.
METHODS/RESULTS: A patient with high grade and stage carcinoma of the renal pelvis and no previous bladder tumor presented with a perivesical mass 6 months following nephroureterectomy. She had a high grade transitional cell carcinoma that infiltrated all of the bladder wall, vagina and parametrium in the region of the meatus that had been resected endoscopically.
The present case indicates there may be histological or technique-related factors that facilitate tumor cell implantation in the deep perivesical region after this procedure is performed. It is necessary to identify these factors before this procedure is used widely.
描述一例肾盂输尿管切除术联合膀胱袖口切除术患者输尿管口切除部位肿瘤种植的病例。
方法/结果：一名肾盂高级别和高分期癌患者，既往无膀胱肿瘤，肾盂输尿管切除术后6个月出现膀胱周围肿块。她患有高级别移行细胞癌，浸润了已在内镜下切除的尿道口区域的整个膀胱壁、阴道和子宫旁组织。
本病例表明，在进行该手术后，可能存在组织学或技术相关因素促进肿瘤细胞在膀胱深部区域种植。在广泛应用该手术之前，有必要识别这些因素。
