CARCINOMA OF THE URETER - A CLINICOPATHOLOGIC STUDY OF 49 CASES
CARCINOMA OF THE URETER - A CLINICOPATHOLOGIC STUDY OF 49 CASES
复制标题
DOI：
10.1016/s0022-5347(17)38730-x
复制
发表时间：
1989-08-01
影响因子：
6.6
通讯作者：
WAHLQVIST, L
中科院分区：
文献类型：
--
作者：
ANDERSTROM, C;JOHANSSON, SL;WAHLQVIST, L
我们回顾了49例输尿管尿路上皮肿瘤患者：33例男性和16例女性患者，平均年龄分别为64.8岁和66.3岁。中位随访时间为83个月。肉眼血尿29例，无症状肾21例。大多数肿瘤位于输尿管远端，约50%的患者患有同步或非同步尿路上皮肿瘤。大多数患者患有低级别，低阶段肿瘤（75%）。21例行局部切除，无肿瘤死亡。这21例患者中只有1例出现同侧复发。24例行肾输尿管切除术，其中5例死于输尿管肿瘤，其中4例为原发性输尿管周围肿瘤。乳头状瘤或1 ~ 3级、Pa ~ P1期输尿管肿瘤患者预后良好，建议对这些患者采取保守治疗。滥用含有非那西丁、非那酮和咖啡因的复方镇痛药可能是发生输尿管肿瘤的危险因素。
We reviewed 49 patients with urothelial tumors of the ureter: 33 male and 16 female patients with a mean age of 64.8 and 66.3 years, respectively. Median followup was 83 months. Gross hematuria was present in 29 patients and a silent kidney was found in 21. The majority of the tumors were in the distal ureter and approximately 50 per cent of the patients had synchronous or asynchronous urothelial tumors. The majority of the patients had low grade, low stage tumors (75 per cent). A total of 21 patients underwent local resection and none died of tumor. Only 1 of these 21 patients had an ipsilateral recurrence. Nephroureterectomy was performed in 24 patients and 5 of them died of ureteral tumor, including 4 in whom periureteral tumor growth initially was recorded. The prognosis of patients with papillomas or grades 1 to 3, stages Pa to P1 ureteral tumors was excellent and a conservative approach is recommended for these patients. Abuse of combination analgesics containing phenacetin, phenazone and caffeine may be a risk factor for development of ureteral tumors.