输尿管鳞状细胞癌1例并文献复习  

Squamous cell carcinoma of ureter:a case report and literature review

作　　者：何瑞宝 李波[1] 蒲麟龙 杨雷 汤召兵[1] 何卫阳[1] HE Ruibao;LI Bo;PU Linlong;YANG Lei;TANG Zhaobing;HE Weiyang(Department of Urology,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Chongqing Fifth People′s Hospital,Chongqing 400062,China)

机构地区：[1]重庆医科大学附属第一医院泌尿外科,重庆400016 [2]重庆市第五人民医院,重庆400062

出　　处：《现代医药卫生》2025年第3期646-648,共3页Journal of Modern Medicine & Health

摘　　要：2023年11月重庆医科大学附属第一医院收治1例女性输尿管鳞状细胞癌患者,初次行右侧输尿管镜检联合输尿管活检,术中见管腔内大量息肉样新生物。术后病理检查提示送检少许输尿管组织,尿路上皮稍厚薄不均,较扁平;遂进行机器人辅助腹腔镜右侧输尿管狭窄段切除及端端吻合术,病理检查提示输尿管高分化鳞状细胞癌,侵及全层,输尿管末端未见癌组织。输尿管鳞状细胞癌是临床罕见的恶性肿瘤,临床症状及影像学检查缺乏特异性,主要依赖术后病理及免疫组织化学检查确诊,无统一治疗方案,以根治性切除术为主,并在术后进行辅助放化疗、免疫治疗可为患者延长生存期提供新的可能。In November 2023,a female patient with squamous cell carcinoma of ureter was admitted to The First Affiliated Hospital of Chongqing Medical University.The right ureteroscopy combined with ureteral biopsy was performed for the first time,and a large number of new polypoid organisms were found in the lumen during the operation.The postoperative examination showed that a little ureteral tissue was detected,and the urothelium was slightly uneven and flat.Then,robot-assisted laparoscopic resection of the right ureteral stenosis and end-to-end anastomosis were performed.The examination revealed highly differentiated squamous cell carcinoma of ureter,which had penetrated the whole layer,and no cancerous tissue was found at the end of the ureter.Ureteral squamous cell carcinoma is a rare clinical malignant tumor,which lacks specificity in clinical symptoms and imaging examination,mainly depends on postoperative pathological and immunohistochemical examination for diagnosis,and there is no unified treatment plan.Radical resection is the main treatment,and postoperative adjuvant chemoradiation and immunotherapy can provide a new possibility for patients to prolong survival.

关 键 词：输尿管鳞状细胞癌 诊断 治疗 病例报告 

分 类 号：R737.13[医药卫生—肿瘤]