【摘 要】
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Many studies have represented the association between end-stage renal disease (ESRD) and malignancy.The predominant malignancy tumor occurs in patients with ESRD in Asian countries is urotheliai carci
【机 构】
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Department of Urology,The First Affiliated Hospital,School of Medicine,Zhejiang University
【出 处】
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第十三届亚洲泌尿外科学会年会(UAA2015)、第二十二届全国泌尿外科学术会议(CUA2015)、第十六届全军及武警泌尿
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Many studies have represented the association between end-stage renal disease (ESRD) and malignancy.The predominant malignancy tumor occurs in patients with ESRD in Asian countries is urotheliai carcinoma(UC).According to recent researches, UC in dialysis-dependent patients have higher recurrence rates and more aggressive biologic behavior compared with normal group.Attenuation or compromised immune surveillance may plays an important role in this situation.The necessity of 1-step total urinary tract exenteration(TUTE) for dialysis-dependent patients with UC is advocated by some studies.A case with metachronous bladder cancer and bilateral UUTT in a dialysis-dependent patient was reported Three operations were performed in different time to remove the bladder, left and right urinary tract respectively.Stepwise strategy or l-step operation? Which way should we choose for these special patients remains in debate.For the high risk patients group at least, total urinary tract exenteration could be an option because of the high incidence of tumors in the useless upper and lower urinary tract.
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