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作者回顾了53例上泌尿道(UUT)移行细胞癌术后与相继发生膀胱肿瘤的关系,男24例,女19例,年龄39～85岁(平均65.6岁)。肿瘤发生于左侧31例,右侧22例,肾输尿管切除2例,肾切除1例,远端输尿管切除与膀胱袖口切除3例,段的输尿管切除1例。随访6个月～14年5个月(平均3年8个月)。依据YICC作肿瘤分期,对有关临床病理参数及后来的膀胱肿瘤的发病率作了评价。结果:53例UUT移行细胞癌中19例(35.8%)发生膀胱肿瘤。从手术到诊断膀胱肿瘤的间隔为2个月至12年8个月(平均7个月)。19例中
The authors reviewed the relationship between 53 cases of upper urinary tract (UUT) transitional cell carcinoma and subsequent bladder tumors, 24 males and 19 females, aged 39-85 years (average 65.6 years). Tumors occurred in 31 cases on the left side, 22 cases on the right side, 2 cases of nephroureterectomy, 1 case of nephrectomy, 3 cases of distal ureteral resection and bladder cuff resection, and 1 case of ureteral resection. Follow-up from 6 months to 14 years and 5 months (average 3 years and 8 months). According to YICC for tumor staging, the relevant clinical pathological parameters and the subsequent incidence of bladder tumors were evaluated. RESULTS: Bladder neoplasms occurred in 19 (35.8%) of 53 UUT transitional cell carcinomas. The interval from surgery to diagnosis of bladder tumors ranges from 2 months to 12 years and 8 months (average 7 months). In 19 cases