原发性输尿管癌少见,早期诊断困难。现将我院1971～1989年间病理证实的19例原发性输尿管癌的诊治作会报告如下。本组19例,男13例,女6例;年龄44～72岁,平均59岁。肿瘤均为单侧,其中位于输尿管下段13例,中段2例,上段3例,全段1例;发生于左侧输尿管9例,右侧10例。从发病到就诊时间为2周～3年。血尿16例,腰痛9例,腹部肿块2例,膀胱刺激征5例;13例发现患恻肾积水(2例为双侧)。IVU检查16例:一侧肾输尿管显影不清10例,2例加作大剂量IVU,1例仍不 Primary ureteral cancer rare, early diagnosis difficult. Now in our hospital from 1971 to 1989 pathologically confirmed 19 cases of primary ureteral cancer diagnosis and treatment will be reported as follows. The group of 19 patients, 13 males and 6 females; aged 44 to 72 years, mean 59 years. Tumors were unilateral, of which 13 cases were located in the lower ureter, 2 in the middle, 3 in the upper segment and 1 in the entire segment; 9 occurred in the left ureter and 10 in the right. From onset to treatment for 2 weeks to 3 years. Hematuria in 16 cases, back pain in 9 cases, abdominal mass in 2 cases, bladder irritation in 5 cases; 13 cases of tubal hydronephrosis (2 cases of bilateral). IVU examination in 16 cases: one side of renal ureter was not clear in 10 cases, 2 cases for high-dose IVU, 1 case still not