原发性输尿管癌的临床特点(附96例报告)

Clinical Analysis of 96 Cases of Primary Ureteral Carinoma

目的 分析我院原发性输尿管癌的临床资料,探讨输尿管癌的临床特点. 方法 对96例经手术病理证实的原发性输尿管癌的临床资料进行回顾性研究分析. 结果 本研究组男48例,女48例,平均发病年龄68岁. 69例均行手术治疗,以输尿管癌根治术为主（ 69例,71. 9%）. 病理诊断结果均为尿路上皮癌. 最常见症状是血尿. 96例获得随访,随访时间为3～150个月. 总2年生存率77. 7%,总5年生存率54. 5%,总十年生存率50. 3%. 结论 肿瘤的分期和分级是影响预后的重要因素,低分期、低分级的原发性输尿管癌也许预后更好. 因此早诊断及早治疗,密切随访对于提高输尿管癌患者的生存率是重要的.

Objective Aim to analyze the clinical pathologic characteristics of primary ureteral carcinoma patients who underwent surgical therapy in the Department of the West China Hospital of Sichuan University. Methods Retrospectively ana-lyze the data of 96 cases were proved with ureteral cancer by pathology. Resutls This study included 48 male and 48 female pa-tients. The average age of morbidity was 68 years old. All the cases underwent surgical operations,and total nephroureterectomy was performed in 69 cases of patients. The haematuria is the most common symptom. All the 96 patients were urological epithelial carci-noma. All the 96 cases were followed up from 3-150 months. The 2 year,5 year and 10 year survival rates were 77. 7%,54. 5% and 50. 3%. Conclusion Tumor stage and grade are both the prognostic factors. Primary ureteral carcinoma with lower stage and grade might have better prognosis. Therefore, the early diagnosis, treatment and the regularly postoperative follow-up are the key points for the prognosis of patients with primary ureteral carinoma.