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目的:探讨原发性输尿管癌的诊断、治疗、预后。方法:对2005年-2013年收治的20例原发性输尿管癌患者的诊断、治疗经验进行回顾性分析研究。结果:手术后病理证实输尿管移行细胞癌17例,腺癌2例,鳞癌1例。G1级5例、G2级8例、G3级7例。A期5例、B期6例、C期6例、D期3例。15例原发性输尿管癌患者行患侧肾、输尿管全长及膀胱袖口状切除术,5例行保留肾脏姑息性切除。17例随访患者中,术后生存<2年3例,2-5年7例,≥5年7例(41.2%)。结论:早期诊断和治疗是提高原发性输尿管癌生存期的关键
Objective: To investigate the diagnosis, treatment and prognosis of primary ureteral cancer. Methods: The diagnosis and treatment experience of 20 patients with primary ureteral carcinoma admitted from 2005 to 2013 were analyzed retrospectively. Results: Seventeen cases of ureteral transitional cell carcinoma, two cases of adenocarcinoma and one case of squamous cell carcinoma were confirmed by pathology. G1 grade in 5 cases, G2 grade in 8 cases and G3 grade in 7 cases. A in 5 cases, B in 6 cases, C in 6 cases, D in 3 cases. Fifteen patients with primary ureteral carcinoma underwent ipsilateral kidney, total ureter length and cuff cuff resection, and 5 patients were treated with palliative resection of the kidney. Of the 17 patients who were followed up, 3 cases were alive in 2 years, 7 cases were in 2 to 5 years and 7 cases were in ≥ 5 years (41.2%). Conclusion: Early diagnosis and treatment is the key to improve the survival of primary ureteral cancer