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1984~1993年我院收治经手术和病理证实的尿路上皮癌共132例,其中9例属于尿路上皮多器官癌,占6.82%。各部位发生多器官癌的机会:肾盂6/16(37.50%),输尿管3/4(75.00%),膀胱9/109(8.26%),尿道2/3(66.67%)。本组9例中有7例为同时发生肿瘤,其中6例于术前同时明确肿瘤部位,诊断准确率85.71%。非同时发生肿瘤的2例,分别于肾盂癌术后6、29个月再发生膀胱癌。本文强调对尿路上皮癌病人不满足于单一部位的诊断,常规行全泌尿系检查,以防多器官癌的漏诊;对肾输尿管上皮癌病人,术后膀胱灌注化疗和定期膀胱镜随访是必要的。
From 1984 to 1993, 132 cases of urothelial carcinoma confirmed by operation and pathology were treated in our hospital, of which 9 cases belonged to multiple organ cancer of the urothelium, accounting for 6.82%. Multiple organ cancer occurred in all sites: pelvis 6/16 (37.50%), ureter 3/4 (75.00%), bladder 9/109 (8.26%), urethral 2/3 (66.67 %). The group of 9 cases in 7 cases of simultaneous tumor, including 6 cases at the same time clearly the tumor site, the diagnostic accuracy rate of 85.71%. Non-simultaneous tumor in 2 cases, respectively, in renal pelvis cancer 6,29 months after the recurrence of bladder cancer. This article emphasizes urinary epithelial cancer patients are not satisfied with the diagnosis of a single site, routine urological examination to prevent misdiagnosis of multiple organ cancer; ureteral epithelial cancer patients, postoperative bladder chemotherapy and regular follow-up of cystoscopy is necessary of.