孤立肾肾盂癌1例报告并文献复习

Renal pelvic carcinoma in solitary kidney:report of one case and literature review

目的:提高孤立肾肾盂癌的诊治水平。方法:报告1例孤立肾肾盂癌,一期输尿管软镜手术无法完全切除肿瘤,二期选择开放性肾盂肿瘤切除术,完整切除肿瘤。结合相关文献复习并对本病诊断和治疗进行讨论。结果:术后随访1年,未见肿瘤复发及转移。结论:孤立肾肾盂癌的诊断主要依靠影像学检查提供直接依据,内镜下取组织病理学检查可提高确诊率。肾输尿管加膀胱袖状切除术仍是治疗的标准术式。内镜下或开放肿瘤局部切除是可选择的方法,而术后密切随访则至关重要。

Objective： To discuss the diagnosis and treatment of renal pelvic carcinoma in solitary kidney. Method： We reported a case of renal pelvic carcinoma in solitary kidney. The flexible ureteroscopic laser was performed in one-stage operation, but failed to ablate. The patient underwent local excision successfully by open surgery in two-stage operation. A brief review of relevant literature was also presented. Result： No recurrence or metastasis was noted during follow-up period of one year. Conclusion. Imaging data provide reliable evidences for the diagnosis of renal pelvic carcinoma in solitary kidney. Pathological examination through endoscope can improve the accuracy of diagnosis. Radical nephroureterectomy with bladder cuff excision is still regarded as the gold standard treatment. Local excision through endoscopic or open technique is a feasible choice. Close follow-up plan is essential.