输尿管癌误诊的原因与防范措施  

Diagnosis and treatment of ureteral carcinoma

作　　者：杨堃[1] 王晖[1] 张峰[1] 张家镇[1] 江鱼[1] 

机构地区：[1]上海市杨浦区中心医院泌尿外科,上海200090

出　　处：《临床泌尿外科杂志》2008年第1期49-51,共3页Journal of Clinical Urology

摘　　要：目的:探讨输尿管癌误诊的原因和防范措施。方法:报告6例误漏诊断输尿管癌的临床资料。误诊为输尿管结石2例,尿路结核1例,尿路感染1例,漏诊2例(只诊断治疗并发的膀胱癌)。其中3例输尿管癌已侵犯到输尿管周围组织或邻近器官,1例已有远处转移。按照国际TNM分类法:T2期2例,T3期3例,T4期1例。结果:T2期2例,术后已分别存活了12年和9年;T3期3例,其中1例联合肾、输尿管膀胱及精囊切除术,术后3年尚未见复发;其余2例分别于术后26个月和5个月复发盆腔肿瘤。T4期1例化疗无效,生存6个月。结论:输尿管癌临床表现缺乏特异性,影像学检查应使输尿管全程显影,可疑病例及时作输尿管镜检查,或开放性手术探查。Objective：To improve the diagnosis and treatment of ureteral carcinoma. Methods：Clinical data of 6 patients whose ureteral carcinoma had not been diagnosed correctly between October 1995 and October 2007 were reviewed. Among them, 2 had been misdiagnosed as ureteral stone, 1 as urinary tuberculosis, 1 as urinary infection, 2 discovered bladder cancer only and received transurethral resection of bladder cancer. According to international TNM staging system, T2 stage 2 cases, T3 3 cases, T4 1 case. Results：After opertion , 2 cases with T2 stage ureteral cancer have lived 12 and 9 Years respectively. OF 3 cases with T3 stage , 1 underwent resection of kidney,ureter, partial bladder and seminal vesicle ,no recurrence was discovered for 3 years , another 2 cases have developed recurrences in 26 and 5 months respectively, 1 case with T4 stage only lived for 6 months. Conclusions： Ureteral cancer lacks typical signs and symptoms. Suspect cases should be undertaken ureteroscopy in time, or exploring surgery.

关 键 词：输尿管肿瘤 错误诊断 防范措施 

分 类 号：R737.13[医药卫生—肿瘤]