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我院于1978～1987年共收治8例输尿管癌,经病理证实。男7例,女1例。年龄50～72岁。6例为原发性,2例分别继发于肾盂和膀胱癌术后。首发症状至确诊时间3个月～5年,平均22个月。本组均有血尿、伴腰痛、腹痛3例,尿痛1例。而血尿、疼痛、肿块三大症状俱全者2例,已属晚期病例。膀胱镜检查发现输尿管口喷血3例,插管受阻2例,管口肿瘤脱出1例。IVU示患侧肾不显影4例,肾积水2例。B超示患侧肾积水3例,同位素肾图患侧肾无功能4例,严重受损1例。术前诊断输尿管肿瘤3例(其中1例为残端癌)。手术证实肿瘤位于输尿管下段6例,其中1例为双侧性伴一侧肾盂肿瘤;位于中段2例。治疗行传统手术
In our hospital from 1978 to 1987, a total of 8 cases of ureteral cancer were admitted, confirmed by pathology. 7 males and 1 female. Age 50 ~ 72 years old. 6 cases were primary and 2 cases were secondary to renal pelvis and bladder cancer respectively. The first symptom to the time of diagnosis of 3 months to 5 years, an average of 22 months. This group has hematuria, with low back pain, abdominal pain in 3 cases, dysuria in 1 case. And hematuria, pain, mass three symptoms are all in 2 cases, is a late case. Cystoscopy revealed ureteral orifice spurting in 3 cases, intubation blocked in 2 cases, oropharyngeal tumor prolapse in 1 case. IVU showed ipsilateral kidney does not develop in 4 cases, 2 cases of hydronephrosis. B ultrasound showed ipsilateral hydronephrosis in 3 cases, isotope nephropathy ipsilateral renal function in 4 cases, 1 case of serious damage. Preoperative diagnosis of ureteral tumors in 3 cases (1 case of stump cancer). Surgery confirmed that the tumor located in the lower ureter in 6 cases, of which 1 case of bilateral sex side of the renal pelvis tumor; located in the middle of 2 cases. Treatment of traditional surgery