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原发性输尿管癌临床较为少见,且早期诊断困难,易误诊和漏诊。我院自1980～1988年共收治28例,报告如下。 1 临床资料 本组28例,男18例,女10例,男:女=1.8:1。年龄40～82岁,平均61.7岁。左侧14例。右侧13例,双侧1例。癌肿位于输尿管上段4例,中段5例,下段19例。首发症状为无痛性血尿23例,腰腹部疼痛4例,乏力、头晕、食欲不振1例。突入膀胱9例,并发肾积水15例,累及全段输尿管1例,术前确诊23例,误诊1例。21例行IVU,11例患侧肾脏不显影,10例示患侧输尿管充盈缺损及肾积水。16例
Primary ureteral cancer is relatively rare clinical and early diagnosis difficult, misdiagnosis and missed diagnosis. Our hospital since 1980 ~ 1988 were treated 28 cases, the report is as follows. 1 Clinical data The group of 28 patients, 18 males and 10 females, males and females = 1.8: 1. Age 40 ~ 82 years old, average 61.7 years old. Left in 14 cases. Right side in 13 cases, bilateral in 1 case. Cancer located in the upper ureter in 4 cases, 5 cases in the middle, the next paragraph in 19 cases. The first symptom of 23 cases of painless hematuria, 4 cases of waist and abdomen pain, fatigue, dizziness, loss of appetite in 1 case. Into the bladder 9 cases, 15 cases of hydronephrosis, involving the entire ureter in 1 case, 23 cases were diagnosed preoperatively, 1 case of misdiagnosis. 21 cases of IVU, 11 cases of ipsilateral kidney no imaging, 10 cases of ipsilateral ureteral filling defect and hydronephrosis. 16 cases