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在1985年-1998年期间共收治原发性输尿管癌9例,其中男7例,女2例,年龄35-72岁,平均43.5岁,左侧5例,右侧4例;肿瘤位于上段1例,中段2例,下段6例。行肾及输尿管全切及输尿管开口周围膀胱部分切除术8例,1例因肿瘤广泛转移未能手术切除,9例术后病理诊断均为移行上皮细胞癌。经随访8例,存活10个月1例,1-5年5例,5年以上2例,1例失访。本组排泄性或逆行肾盂造影是主要的检查手段,患侧肾输尿管全切及输尿管开口周围膀胱部分切除术是首选方式。
During the period from 1985 to 1998, 9 cases of primary ureteral cancer were treated, including 7 males and 2 females, aged 35-72 years, with an average of 43.5 years, 5 cases in the left side and 4 cases in the right side; the tumor was located in the upper segment 1 In the example, there were 2 middle cases and 6 lower cases. All patients underwent renal and ureteral total resection and partial cystectomy of ureteral orifices were performed in 8 cases. One patient had failed to undergo surgical resection because of extensive metastases, and 9 cases had pathological diagnosis of transitional cell carcinoma. After follow-up of 8 cases, 1 case survived for 10 months, 5 cases for 1-5 years, 2 cases for more than 5 years, and 1 case lost to follow-up. This group of excretory or retrograde pyelography is the main method of examination, ipsilateral renal ureteral full cut and ureteral opening around the cystectomy is the preferred method.