DIAGNOSIS AND TREATMENT ANALYSIS OF 14 CASES CARCINOMA OF REN AL PELVIS

中国医师进修杂志 Pub Date : 2000-11-15 DOI:10.3760/CMA.J.ISSN.1673-4904.2000.11.013

Ji-ye Zhao, Zhong-zhou He, Ze-qiang Luan, M. Yan

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Abstract

Objective:To improve the diagnosis and treatment of pyelic neoplasms.Methods:14 cases of primary pyelic transitional cell carcinoma verified through operation and pathology from 1983 to 1999 were reviewed.The clinical features and the choice of methods for examination were analyzed.And the causes of misdiagnosis were discussed.Results:12 cases were diagnosed definitely before operation (85.71%).14 cases were verified to be pyelic transitional cell papilloma through pathology.2 cases were in G 1,9 cases were in G 2,3 cases were in G 3,3 cases were in stage Ⅰ,7 cases were in stage Ⅱ,2 cases were in stage Ⅲ,2 cases were in stage Ⅳ.And 12 cases were given postoperative follows up.The disease-free interval were 11 months to 14 years.Conclusions:Hematuria,flank pain and hydronephrosis were the main presentations of these patients.The combined application of examinations such as IVU,ultrasonography,retrograde pyelography,CT scanning,cystourethroscope,urine cytology etc before operation may improve the rate of correct diagnosis of pyelic carcinoma.The radical sleeve resection of kidney,ureter and bladder was the effective method for the treatment of pyelic carcinoma.

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肾盆腔癌14例诊治分析

目的:提高肾盂肿瘤的诊断和治疗水平。方法:对1983 ~ 1999年经手术及病理证实的14例原发性肾盂移行细胞癌进行回顾性分析。分析其临床特点及检查方法的选择。并对误诊原因进行了探讨。结果:术前确诊12例(85.71%)。病理证实为肾盂移行细胞乳头状瘤14例。g1期2例，g2期9例，g3期3例，Ⅰ期3例，Ⅱ期7例，Ⅲ期2例，Ⅳ期2例。术后随访12例。无病间隔为11个月至14年。结论:血尿、侧腹疼痛、肾积水是本组患者的主要表现。术前联合应用IVU、超声、逆行肾盂造影、CT、膀胱输尿管镜、尿细胞学等检查可提高肾盂癌的诊断率。肾、输尿管、膀胱根治性套筒切除术是治疗肾盂癌的有效方法。

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来源期刊

中国医师进修杂志

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26239

期刊介绍： Chinese Journal of Postgraduates of Medicine (founded in 1978, monthly) is one of the series of journals of the Chinese Medical Association (CMA) under the supervision of the National Health Commission of the People's Republic of China, sponsored by the Chinese Medical Association (CMA) and Dalian Institute of Theoretical Medicine (DITM). It is a core journal of Chinese science and technology, a statistical source journal of Chinese scientific and technical papers, and a statistical source journal of China Academic Journal Impact Factor Annual Report. The journal adheres to the purpose of using continuing medical education and post training, highlights new theories, new knowledge, new methods and new technologies, and focuses on the combination of theory and practice, and the combination of popularisation and improvement. Main columns: Special tutorials, expert forums, clinical treatises, clinical experience, reviews and lectures, continuing medical education, teaching and research, advanced training forum, drugs and clinics, overview of progress, introduction of new technologies, imaging and clinics, lessons learnt, discussions and evaluations, case reports, discussions of clinical cases, conference proceedings, and domestic and international academic developments. The main target readers are clinical medical personnel in internal medicine, surgery, gynaecology, paediatrics and ophthalmology.