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原发性输尿管癌较少见,本文报告3例,结合有关文献就早期诊治问题作一简要讨论,报告于下: 例1,男,71岁。间歇性无痛性肉眼血尿1月余,有时伴有血块,尿细胞学检查找到癌细胞。膀胱镜检查发现右输尿管口一赘生物,诊断为膀胱癌收住院。静脉肾盂造影右侧不显影。术中见右输尿管口有一1.2 cm菜花样新生物,右输尿管下端显著增粗,呈结节状。行右肾、输尿管全切、膀胱部分切除术。术后恢复良好。病理诊断:右输尿管下端移行细胞乳头状癌Ⅱ级,右肾积水伴慢性肾盂肾炎。
Primary ureteral cancer is rare, this article reports 3 cases, combined with the literature on early diagnosis and treatment to make a brief discussion, the report below: Example 1, male, 71 years old. Intermittent painless gross hematuria more than 1 month, sometimes accompanied by blood clots, urine cytology to find cancer cells. Cystoscopy revealed a neoplasm of the right ureter, diagnosis of bladder cancer admitted to hospital. Intravenous pyelography on the right is not developed. Intraoperative see a right ureter orifice 1.2 cm cauliflower new life, significantly lower right ureteral thickening, nodular. Right kidney, ureter all cut, partial resection of the bladder. Postoperative recovery is good. Pathological diagnosis: the bottom of the right ureter transitional cell papillary carcinoma grade Ⅱ, hydronephrosis with chronic pyelonephritis.