原发性输尿管癌26例的诊断与治疗

目的 探讨原发性输尿管癌的早期诊断及治疗。方法 1983.02～2001.02收治原发性输尿管癌26例,对其诊断和治疗进行讨论。结果 术后病理证实为输尿管乳头状移行细胞癌,其中G_1级7例,G_2级10例,G_3级9例,O～A期6例,B期8例,C期7例,D期5例。获得随访23例中,生存3月～1年8例,1～3年4例,5年以上6例,17年2例,长期生存12例(52％)。结论 选择早期诊断的方法并及时、正确治疗,可提高原发性输尿管癌的远期疗效。

Diagnosis and treatment of 26 cases of primary ureteral carcinoma

Objective To improve the early diagnosis and treatment of primary ureteral carcinoma. Methods From Feb. 1982 to Feb. 2001,26 cases of primary ureteral caxinoma were retrospectively investigated. Results All pa-rients were pathologically diag nosed of ureteral papillary transitional cell carcinoma,of which 7 cases were G1 ,10 cases G2 ,9 cases G, ,6 cases were stage O-A,8 cases stage B,7cases stage C and 5 cases stage D. 23 cases were followed up, 8 cases with the survival period of 3 month-1 year.4 with 1-3 years,6 with > 5 years, 2 with 17 years,and 52% (12/23)with more than one year,Conclusion The early diagnosis and proper treatment can improve curative effect of primary ureteral carcinoma.