原发性输尿管肉瘤样癌1例报告并文献复习  

Ureteral sarcomatoid carcinoma:report of one case and review of literatures

作　　者：房敬林 孟庆军[1] 闫泽晨[1] 王泽华[1] 徐鹏超[1] 高瞻[1] 田雨冬[1] 

机构地区：[1]郑州大学第一附属医院泌尿外科,450052

出　　处：《现代泌尿生殖肿瘤杂志》2016年第1期24-26,共3页Journal of Contemporary Urologic and Reproductive Oncology

摘　　要：目的提高输尿管肉瘤样癌的诊断及治疗水平。方法回顾1例输尿管肉瘤样癌患者的临床资料,术前予CTU、输尿管镜活检及同位素肾图检查,诊断为右输尿管癌,行腹腔镜下右输尿管占位根治性切除术。结果术中发现髂血管处输尿管与周围组织粘连明显,切除右肾、右输尿管及部分膀胱组织。术后病理提示输尿管肉瘤样癌。术后随访6个月,患者死亡。结论输尿管肉瘤样癌临床上极其罕见,诊断较困难,其恶性程度高,手术疗效差,放、化疗不敏感,预后极差。Objective To study the clinical diagnosis and treatment of ureteral sarcomatoid carcinoma. Methods Based on the clinical data of one single case,discussed and summarized the diagnosis and treatment of ureteral sarcomatoid carcinoma,and related literature were reviewed. Results Laparoscopic surgery was performed for this patient-Ureteral Orifice-Shaped-Cuff. Patholo-gy showed sarcomatoid carcinoma. This patient died six months later. Conclusions Sarcomatoid carcinoma of the ureter is extremely rare clinically. It is difficult to diagnose,with a tendency of ma-glignant behavior and hard to be radically cured,insensitive to radiation and chemotherapy.

关 键 词：输尿管恶性肿瘤 肉瘤样癌 诊断 治疗 

分 类 号：R737.13[医药卫生—肿瘤]