经尿道膀胱癌切除及输尿管口

IF 0.1 Q4 ONCOLOGY
A. Novikov, R. Leonenkov, D. Temkin, M. V. Borovik, E. S. Shpilenya, N. V. Alferova
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引用次数: 1

摘要

在90- 95%的病例中,尿路上皮癌主要影响膀胱,约5- 49%的患者可位于输尿管口附近或完全关闭输尿管口。上尿路异时性尿路上皮癌通常发生在原发膀胱肿瘤经尿道切除或根治性膀胱切除术后3年及以上,累及输尿管口的发生率为0 - 20%,最高可达51%。目前对于这类患者的管理尚无明确的建议和诊疗算法。本文综述了上尿路肿瘤复发的频率、可能的原因和危险因素、器官保留治疗的适应证、经尿道输尿管口肿瘤切除术的手术技术特点、新出现的并发症及预防方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Transurethral resection of bladder cancer involving the orifice of the ureter
In 90-95 % of cases, urothelial cancer primarily affects the bladder and in about 5-49 % of patients it can be located near or completely close the orifice of the ureter. Metachronous urothelial cancer of the upper urinary tract occurs, as a rule, 3 or more years after transurethral resection of the primary bladder tumor or radical cystectomy, and its frequency with involvement of the ureteral orifice ranges from 0 to 20 %, reaching 51 %. Currently, there are no clear recommendations and diagnostic and treatment algorithm for the management of this category of patients. This review examines the frequency, possible causes and risk factors for recurrence of upper urinary tract tumors, indications for organ-preserving treatment, features of surgical technique for transurethral resection of ureteral orifice tumors, emerging complications and methods of their prevention.
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来源期刊
Onkourologiya
Onkourologiya ONCOLOGY-
CiteScore
0.40
自引率
0.00%
发文量
59
审稿时长
10 weeks
期刊介绍: The main objective of the journal "Cancer urology" is publishing up-to-date information about scientific clinical researches, diagnostics, treatment of oncologic urological diseases. The aim of the edition is to inform the experts on oncologic urology about achievements in this area, to build understanding of the necessary integrated interdisciplinary approach in therapy, alongside with urologists, combining efforts of doctors of various specialties (cardiologists, pediatricians, chemotherapeutists et al.), to contribute to raising the effectiveness of oncologic patients’ treatment.
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