Diagnosis and treatment of urothelial tumors in multiple organs
10.3760/cma.j.issn.0254-9026.2012.12.016
- VernacularTitle:多器官尿路上皮肿瘤的诊断与治疗
- Author:
Fengming ZHU
;
Qingtong YI
;
Min GONG
;
Wei HU
;
Jianjun GU
;
Chuhong CHEN
;
Min YE
- Publication Type:Journal Article
- Keywords:
Urinary tract;
Epithelial neoplasms;
Diagnosis;
Therapy
- From:
Chinese Journal of Geriatrics
2012;(12):1087-1089
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the experiences of the diagnosis and treatment of urothelial tumor in multiple organs.Methods Clinical data of 10 patients with urothelial tumor in multiple organs were retrospectively reviewed.Urothelial tumors were found in two or more organs at the same time by B ultrasound,IVU,R-P,CTU,MRU,cystoscopy,ureteroscopy and so on before operation.Results 6 cases were operated by radical total nephroureterectomy and partial cystectomy,3 cases were operated by radical total nephroureterectomy and cystectomy with urinary diversion,1 case was operated by partial ureterectomy and total cystectomy.8 of them were alive,1 case was operated by total urethrectomy because of tumor recurrence in the posterior urethra,one died of metastasis tumor 18 months after operation,and the other died 32 month after operation.Conclusions Combined use of various kinds of the diagnostic means (ultrasound,IVU,R-P,CTU,MRU,cystoscopy,ureteroscopy) are important for the diagnosis of urothelial tumor in multiple organs.It needs to select the operate mode according to the tumor staging and grade and the patient's condition.Reinforcement surveillance and close follow up is required after operation.
