CAJ | 학술논문

目的探讨双侧上尿路同时发生恶性肿瘤的治疗方法及有效性评价.方法报告2013年1月～2013年2月本院收治的2例双侧上尿路同时发生肿瘤患者的临床资料,2例均行一侧肾输尿管全长切除术,对侧保留肾脏的手术.其中1例为输尿管膀胱再吻合术,1例为输尿管镜下肿瘤切除术.结果术后病理结果均提示移行细胞癌.目前2例患者均在随访中,其中1例术后6个月及8个月分别出现膀胱肿瘤复发,后于2013年10月行膀胱根治性切除术;1例未见肿瘤复发.结论对于双侧同时存在尿路上皮肿瘤的患者,可根据实际情况选择一侧肾输尿管全长切除+对侧保留肾脏的手术方法,此种治疗方式术后花费低、患者主观生存质量较高,值得临床推荐.当然术后有效的随访必不可少.
목적 탐토쌍측상뇨로동시발생악성종류적치료방법급유효성평개.방법 보고2013년1월～2013년2월본원수치적2례쌍측상뇨로동시발생종류환자적림상자료,2례균행일측신수뇨관전장절제술,대측보류신장적수술.기중1례위수뇨관방광재문합술,1례위수뇨관경하종류절제술.결과 술후병리결과균제시이행세포암.목전2례환자균재수방중,기중1례술후6개월급8개월분별출현방광종류복발,후우2013년10월행방광근치성절제술;1례미견종류복발.결론 대우쌍측동시존재뇨로상피종류적환자,가근거실제정황선택일측신수뇨관전장절제+대측보류신장적수술방법,차충치료방식술후화비저、환자주관생존질량교고,치득림상추천.당연술후유효적수방필불가소.
Objectives To investigate the treatment methods and feasibility analysis for bilateral upper urinary tract transitional cell carcinoma.Methods The clinical data of 2 cases from January 2013 to February 2013 with transitional cell carcinoma of synchronous bilateral upper urinary tracts were reported.Both were received unilateral nephroureterectomy and contralateral organ-preserving surgery.Including partial ureterectomy and reimplantation and endoscopic resection.Results The result of the pathology was all transitional cell carcinoma.In follow-up,1 case generated bladder tumor after operation in six months later and eight months later,then was received radical cystectomy in October 2013,1 case was seen without tumor recurrence.Conclusions As for patients with synchronous bilateral transitional cell carcinoma of the upper urinary tracts,unilateral nephroureterectomy and contralateral organ-preserving surgery could be taken for the sake of kidney function.It is worthy to be recommended because of the lower postoperative expenses and higher life quality.Besides,intensive monitoring should be taken after operation.