原发性输尿管癌(附26例报告)

目的　提高原发性输尿管癌的诊治水平。方法　对 1980年～ 2 0 0 1年收治的 2 6例原发性输尿管癌患者的诊断、治疗经验进行总结。结果　 2 4例行IVU ,6例示输尿管充盈缺损或狭窄。 2 2例膀胱镜检 ,3例见肿瘤自输尿管口脱出 ,5例患侧输尿管口喷血。 16例逆行肾盂造影 ,11例输尿管充盈缺损或狭窄。 2 1例获随访 ,时间 6个月～ 12年。 5年生存率为 42 9%。结论　肉眼血尿、腰痛为主要症状。逆行肾盂造影及膀胱镜检查为主要手段。肾输尿管全长及膀胱部分切除为主要术式。预后与肿瘤分期分级有关

Primary Ureteral Carcinoma (Report of 26 Cases)

Objective To improve the levels of diagnosis and treatment of primary ureteral carcinoma.Methods From 1980 to 2001,diagnosis and treatment of 26 cases of primary ureteral carcinoma were analyzad.Results The urography was performed in 24,the filling defect or stricture were seen in 6.Cystoscopy was used in 22,tumors in the bladder and ureteral orifice were found in 3,bloodstream was arising from ureteral orifice in 5.16 cases were examined with retrograde urography,the filling defect of stricture were found in 11.21 cases were followed up for 6 months to 12 years.The 5 year survival rate was 42.9%Conclusions Hematuria and flank pain are cardinal symptom.Cystoscopy and retrograde urography are the important diagnostic methods.Total nephyroureterectomy with excision of a cuff of bladder is the first choice for treatment.The prognosis of primary ureteral carcinoma is in relatuion to the stage and grade of the tumor.