【摘要】 目的 :提高肾盂肿瘤的诊治水平。方法 :回顾性总结 1983 - 1999年手术和病理证实的原发性肾盂移行细胞癌 14例 ,对其临床特点及各种检查方法的选择进行分析 ,并对其误诊原因进行讨论。结果 :术前明确诊断 12例 ,为 85 71%。 14例病理检查证实为肾盂移行细胞乳头状细胞癌 ,其中G1级 2例 ,G2 级 9例 ,G3 级 3例 ;Ⅰ期 3例 ,Ⅱ期 7例 ,Ⅲ期 2例 ,Ⅳ期 2例。得到随访 12例 ,无瘤生存 11个月～ 14a。结论 :血尿、腰痛和肾积水是肾盂癌主要临床表现。术前联合应用IVU、B超、逆行造影、CT、膀胱镜和尿脱落细胞学等检查可提高肾盂癌的正确诊断率。根治性肾、输尿管膀胱袖口样切除术是治疗肾盂癌的有效方法更多还原

【Abstract】 Objective:To improve the diagnosis and treatment of pyelic neoplasms.Methods:14 cases of primary pyelic transitional cell carcinoma verified through operation and pathology from 1983 to 1999 were reviewed.The clinical features and the choice of methods for examination were analyzed.And the causes of misdiagnosis were discussed.Results:12 cases were diagnosed definitely before operation (85.71%).14 cases were verified to be pyelic transitional cell papilloma through pathology.2 cases were in G 1,9 cases were in G 2,3 cases were in G 3,3 cases were in stage Ⅰ,7 cases were in stage Ⅱ,2 cases were in stage Ⅲ,2 cases were in stage Ⅳ.And 12 cases were given postoperative follows up.The disease-free interval were 11 months to 14 years.Conclusions:Hematuria,flank pain and hydronephrosis were the main presentations of these patients.The combined application of examinations such as IVU,ultrasonography,retrograde pyelography,CT scanning,cystourethroscope,urine cytology etc before operation may improve the rate of correct diagnosis of pyelic carcinoma.The radical sleeve resection of kidney,ureter and bladder was the effective method for the treatment of pyelic carcinoma.更多还原