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原发性输尿管癌的诊断与治疗(附27例报道)

Diagnosis and Treatment of Primary Ureteral Cancer:Report of 27 Cases

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【作者】 陈杰张燮良

【Author】 Chen Jie Zhang Xieliang Department of Radiotherapy,Cancer Hospital&Institute of Tianjin Medical University,Tianjin

【机构】 天津医科大学附属肿瘤医院放疗科天津医科大学附属肿瘤医院盆腔科 天津市300060天津市300060

【摘要】 目的:提高原发性输尿管癌的诊治水平。方法:分析27例原发性输尿管癌的临床特点、诊断、治疗及预后。结果:首发症状以肉眼血尿最常见。B超为首选影像学检查方法,静脉尿路造影、逆行肾盂输尿管造影、膀胱镜检查是最重要的诊断方法。27例获得随访,5年生存率为42.2%。结论:原发性输尿管癌的预后与肿瘤的分期、分级密切相关。早期诊断与合理治疗是提高患者生存率的关键。

【Abstract】 Objective: To improve the diagnosis and treatment of primary ureteral cancer. Methods: The clinical characteristic, diagnosis, treatment and prognisis of primary ureteral cancer were analysis with literature in 27 patients. Results: Gross hematuria was the main commom symptom, B-ultrasound was the first line diagnostic method, IUV? retrograde ureteropyelography? cystoscopy were the most important diagnostic method. 27cases were followed-up, 5 year survival rates was 42.2%. Conclutions: The prognosis of primary ureteral cancer was relevant to the grade and stage of tumor. It is the key to improve survival rates that early diagnosis? reasonable treatment.

  • 【文献出处】 中国肿瘤临床 ,Chinese Journal of Clinical Oncology , 编辑部邮箱 ,2004年12期
  • 【分类号】R737.13
  • 【被引频次】3
  • 【下载频次】59
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