原发性输尿管癌的诊断与治疗(附36例报告)

Diagnosis and treatment of primary ureteral carcinoma(Report of 36 cases)

目的:探讨原发性输尿管癌的早期诊断及治疗方法。方法:对1995年7月～2007年1月收治的36例原发性输尿管癌的诊断和治疗进行回顾性分析研究。结果:术后病理检查证实均为输尿管移行细胞癌,其中G1级8例,G2级16例,G3级12例。Ⅰ期12例,Ⅱ期14例,Ⅲ期9例,Ⅳ期1例。行根治性肾输尿管切除术32例,保守手术4例。获得随访31例,生存6个月～1年3例;1～3年10例;3～5年2例;5年及5年以上16例(51.6%)。结论:早期诊断和治疗是提高原发性输尿管癌远期疗效的关键。

Objective： To improve the early diagnosis and treatment of primary ureteral carcinoma. Methods： From July 1995 to January 2007,36 cases of primary ureteral carcinoma were retrospectively investigated. Results.. Clinical data of 36 patients with ureteral transitional cell carcinoma were reviewed retrospectively. Of which, 8 cases were G1 , 16 cases G2, 12 cases G3, 12 eases were stage Ⅰ ,14 cases stage Ⅱ ;9 cases stage Ⅲ and 1 case stage Ⅳ. Thirty one cases were followed up, 3 cases survived 6 months- 1 year, 10 cases 1- 3 years, 2 cases 3- 5 years, 16 ≥5 years（51.6% ）. Thirty two cases underwent radical nephroureterectomy and 4 cases received conservative surgical treatment Conclusions：The early diagnosis and proper treatment are the key for improving curative effect of primary ureteral carcinoma.