原發性輸尿管腫瘤的影像學診斷_West China Medical Journal

Authors：

費亞軍 , 吳玉輝 , 徐智軍 , 鹿艷杰

Corresponding?author：

Keywords：

輸尿管腫瘤; 影像學診斷; 逆行尿路造影

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

【摘要】目的探討影像學檢查對原發性輸尿管腫瘤的檢查方法及征像。方法回顧性分析2001年1月-2010年12月經手術病理證實的23例原發輸尿管腫瘤影像學表現及征像。結果根據影像學表現，輸尿管原發腫瘤多發生于中老年男性輸尿管下段，靜脈腎盂造影21例檢查中，僅3例輸尿管腔內充盈缺損。逆行腎輸尿管檢查18例中，10例插管受阻，顯示腫瘤遠端呈杯口狀改變，5例導管可通過，顯示充盈缺損。CT掃描17例中，3例發現輸尿管腫塊，2例誤診為膀胱腫瘤。B超檢查22例中，3例直接探及輸尿管腫瘤。結論逆行腎輸尿管造影檢查對診斷輸尿管腫瘤意義重大，診斷符合率為83.3%，CT、B超及靜脈腎盂造影遠不及逆行腎輸尿管造影。膀胱鏡檢查對某些輸尿管下段腫瘤有診斷意義。

Citation： 費亞軍,吳玉輝,徐智軍,鹿艷杰. 原發性輸尿管腫瘤的影像學診斷. West China Medical Journal, 2010, 25(7): 1335-1336. doi: Copy

1.	Porter CR, Latchamsetty KC, Genega EM. Urothelial neoplasms of the kidney and ureter: an epidemiologic, pathological and clinical review[J]. AUA Update Series, 2005, 24: 77-84.
2.	Marín-Aguilera M, Mengual L, Ribal MJ, et al. Utility of fluorescence in situ hybridization as a non-invasive technique in the diagnosis of upper urinary tract urothelial carcinoma[J]. Eur Urol, 2007, 51(2): 409-415.
3.	游瑞雄, 李銀官, 曹代榮, 等. 多層螺旋CT三維重建對輸尿管腫瘤的診斷價值[J]. 福建醫科大學學報, 2007, 41(2): 172-177.
4.	杭永貴, 孫曉文, 夏術階, 等. 多層螺旋CT尿路造影對無痛性血尿的上尿路腫瘤的診斷價值[J]. 現代泌尿外科雜志, 2009, 14(2): 100.
5.	楊堃, 陸鴻海, 張家鎮, 等. 輸尿管癌臨床特性及誤漏診斷原因的探討[J]. 現代泌尿外科雜志, 2008, 13(2): 103.
6.	Oehlschlager S, Baldauf A, Wiessner D, et al. Bladder tumor recurrence after primary surgery for transitional cell carcinoma of the upper urinary tract[J]. Urol Int, 2004, 73(3): 209-221.
7.	Cizto B, Zietman A, Kaufrman D, et al. Adjuvant radiotherapy with and without concurrent chemotherapy for locally advanced transitional cell carcinoma of the renalpelvis and ureter[J]. J Urol, 2004, 172(4): 1271.
8.	Kwak C, Lee SE, Jeong IG, et al. Adjuvant systemic chemotherapy in the treatment of patients with invasive transi tional cell carcinoma of the upper urinary tract[J]. Urology, 2006, 68(1): 53.
9.	Bamias A, Deliveliotis Ch, Fountzilas G, et al. Adjuvant chemotherapy with paclitaxel and carboplatin in patients with advanced carcinoma of the upper urinary tract: a study by the Hellenic Cooperative Oncology Group[J]. J Clin Oncol, 2004, 22(11): 2150-2154. Comment in: J Urol, 2005, 173(3): 729-730.
10.	Yun Seob Song. Adjuvant gemcitabine-cisplatin chemotherapy of invasive transitional cell carcinoma of the upper urinary tract[J]. Eur Urol Suppl, 2008, 7(3): 221.

1. Porter CR, Latchamsetty KC, Genega EM. Urothelial neoplasms of the kidney and ureter: an epidemiologic, pathological and clinical review[J]. AUA Update Series, 2005, 24: 77-84.
2. Marín-Aguilera M, Mengual L, Ribal MJ, et al. Utility of fluorescence in situ hybridization as a non-invasive technique in the diagnosis of upper urinary tract urothelial carcinoma[J]. Eur Urol, 2007, 51(2): 409-415.
3. 游瑞雄, 李銀官, 曹代榮, 等. 多層螺旋CT三維重建對輸尿管腫瘤的診斷價值[J]. 福建醫科大學學報, 2007, 41(2): 172-177.
4. 杭永貴, 孫曉文, 夏術階, 等. 多層螺旋CT尿路造影對無痛性血尿的上尿路腫瘤的診斷價值[J]. 現代泌尿外科雜志, 2009, 14(2): 100.
5. 楊堃, 陸鴻海, 張家鎮, 等. 輸尿管癌臨床特性及誤漏診斷原因的探討[J]. 現代泌尿外科雜志, 2008, 13(2): 103.
6. Oehlschlager S, Baldauf A, Wiessner D, et al. Bladder tumor recurrence after primary surgery for transitional cell carcinoma of the upper urinary tract[J]. Urol Int, 2004, 73(3): 209-221.
7. Cizto B, Zietman A, Kaufrman D, et al. Adjuvant radiotherapy with and without concurrent chemotherapy for locally advanced transitional cell carcinoma of the renalpelvis and ureter[J]. J Urol, 2004, 172(4): 1271.
8. Kwak C, Lee SE, Jeong IG, et al. Adjuvant systemic chemotherapy in the treatment of patients with invasive transi tional cell carcinoma of the upper urinary tract[J]. Urology, 2006, 68(1): 53.
9. Bamias A, Deliveliotis Ch, Fountzilas G, et al. Adjuvant chemotherapy with paclitaxel and carboplatin in patients with advanced carcinoma of the upper urinary tract: a study by the Hellenic Cooperative Oncology Group[J]. J Clin Oncol, 2004, 22(11): 2150-2154. Comment in: J Urol, 2005, 173(3): 729-730.
10. Yun Seob Song. Adjuvant gemcitabine-cisplatin chemotherapy of invasive transitional cell carcinoma of the upper urinary tract[J]. Eur Urol Suppl, 2008, 7(3): 221.

West China Medical Journal

原發性輸尿管腫瘤的影像學診斷

Abstract Full text Figures/Tables Video References Cited by

Format

Content