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报告原发性输尿管癌26例,均为移行上皮细胞癌,临床主要表现为血尿和腰痛。并就其诊断和治疗等有关问题进行了讨论,认为排泄性尿路造影、膀胱镜检查及逆行输尿管插管造影是诊断的主要方法。肿瘤位于下段输尿管者占73%。排泄性尿路造影患肾不显影,提示预后较差。生存率与肿瘤分级分期密切相关。手术治疗以行患肾、输尿管全段及膀胱袖状切除为主。放疗和化疗是术后可选择的辅助治疗。
Report of 26 cases of primary ureteral cancer, are transitional cell carcinoma, the main clinical manifestations of hematuria and low back pain. And the diagnosis and treatment and other related issues were discussed, that excretory urography, cystoscopy and retrograde ureteral catheterization is the main method of diagnosis. Tumors in the lower ureter accounted for 73%. Urine urinary tract imaging with renal failure, suggesting that the prognosis is poor. Survival rate and tumor staging are closely related. Surgical treatment of the line with the kidney, the entire ureter and bladder sleeve-based resection. Radiotherapy and chemotherapy are optional postoperative adjuvant therapy.