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原发性输尿管癌较为少见,据文献报道其发生率为泌尿科病人的1/1500左右。我院近15年来共收治8例,兹结合文献报告于下。1 临床资料1.1 一般情况:本组男性7例、女性1例。1例36岁,其余7例平均年龄为60.1岁(最大为76岁)。肿瘤均为单侧,其中中段2例、下段6例(包括向膀胱输尿管口突出2例)。1.2 临床症状:从发生症状到就诊时间最长5个月,最短2个月。无痛性血尿5例,痛性血尿1例。腰区钝痛及阵发性疼痛7例。膀胱刺激征1例。1例入院时发热。1.3 特殊检查:排泄性肾盂造影结果,患侧肾积水6例,肾不显影2例。膀胱镜检查2例窥见输尿管口肿物,膀胱未见肿瘤。6例行双侧输尿管逆行造影,均发现输尿管肿物的充盈缺损影像。
Primary ureteral cancer is relatively rare, according to the literature reported the incidence of urological patients about 1/1500 or so. In our hospital nearly 8 years treated a total of 8 cases, combined with the literature report in the next. 1 Clinical data 1.1 General situation: This group of 7 males and 1 female. One patient was 36 years old and the remaining seven patients had an average age of 60.1 years (up to 76 years). Tumors were unilateral, including 2 cases in the middle and 6 cases in the lower part (including 2 cases with prominent urinary bladder outlet). 1.2 Clinical symptoms: From the onset of symptoms up to 5 months, the shortest 2 months. Painless hematuria in 5 cases, 1 case of hematuria. Lumbar dull pain and paroxysmal pain in 7 cases. Bladder irritation in 1 case. 1 case of fever on admission. 1.3 special examination: excretory pyelography results, ipsilateral hydronephrosis in 6 cases, 2 cases of renal non-visualization. Cystoscopy revealed 2 cases of ureteral orifice, no tumor in the bladder. 6 cases of bilateral ureter retrograde angiography, were found ureteral tumor filling defect images.