肾移植术后并发泌尿系统肿瘤6例报告并文献复习

 目的　探讨肾移植术后泌尿系统肿瘤的发生情况、临床特点、诊断及治疗。方法　对本院自1991年～ 2 0 0 1年十年间行同种异体肾移植术 10 96例术后泌尿系统肿瘤的发生情况进行回顾性分析 ,并结合复习文献。结果　本组发现泌尿系统肿瘤 6例 ,发生率为 0 .5 5 %。其中肾盂癌 2例 (其中 1例为双侧肾盂癌 ) ,膀胱癌 1例 ,肾盂癌合并膀胱癌 2例 ,输尿管癌 1例。 6例均行手术治疗 ,平均随访11.4个月 ,效果良好。结论　肾移植术后出现血尿 ,除排斥反应外 ,还应注意泌尿系统肿瘤的可能性。

Malignancies of the urological system following renal transplantation (report of 6 cases and review of the literature)

Objective To investigate the development of malignancies of the urological system after renal transplantation. Methods A retrospective study of 1096 renal transplantations undertaken between 1991 and 2001 was carried out. Results Six patients ( 0.55%) exhibited cancer of the urological system. There were 2 carcinomas of renal pelvis, 1 carcinoma of bladder, 2 carcinomas in both renal pelvis and bladder, and 1 carcinoma of ureter. Surgical treatment was undertaken in 6, and all of them have been living well. Conclusion There is an increased incidence of malignancies of the urological system after renal transplantation. The frequency of such disorders necessitates routine examinations for all transplant recipients both before and at regular intervals.