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目的:探讨输尿管非霍奇金滤泡性淋巴瘤的病因、临床表现、诊断及治疗。方法:回顾分析本院收治的1例输尿管非霍奇金滤泡性淋巴瘤患者的临床资料,术前诊断:左输尿管下段占位,左肾积水。行左输尿管病变段探查术,术中冷冻切片诊断为淋巴瘤,遂行输尿管端端吻合术。结果:术后病理回报证实输尿管非霍奇金滤泡性淋巴瘤、Ⅰ~Ⅱ级。术后随访3个月,未见肿瘤复发及转移,生存状态良好。结论:输尿管非霍奇金滤泡性淋巴瘤是一种极罕见的肿瘤,确诊需行内镜检查及活检,手术切除肿瘤段,解除梗阻,并尽可能保留肾功能是其首选治疗方法。
Objective: To investigate the etiology, clinical manifestation, diagnosis and treatment of ureter non-Hodgkin’s follicular lymphoma. Methods: The clinical data of one patient with ureteral non-Hodgkin’s follicular lymphoma admitted to our hospital were retrospectively analyzed. Preoperative diagnosis was made in the lower left ureter and left hydronephrosis. Surgical exploration of left ureteral lesions, intraoperative frozen section diagnosis of lymphoma, ureter end anastomosis. Results: Postoperative pathological findings confirmed that ureter non-Hodgkin’s follicular lymphoma, grade Ⅰ ~ Ⅱ. After 3 months of follow-up, no tumor recurrence and metastasis, good survival. Conclusions: Ureter non-Hodgkin’s follicular lymphoma is an extremely rare tumor. Endoscopic examination and biopsy are required. Surgical resection of the tumor segment, ligation of obstruction, and preservation of renal function as far as possible are the first choice of treatment.