ABSTRACT
Objective To discuss the diagnosis and treatment experience of primary ureteral cancer.Methods We retrospectively analyzed the clinical data of 24 patients with ureteral carcinoma treated in Beijing hospitals between 2001～2007.Compared various examination methods and tried to figure out the existing problems in the diagnosis and treatment.Results The preoperative diagnosis of 22 in 24 cases were clarified,19 of them received surgery.Postoperative pathology reports show of the 19 cases18 have pathology classification as transitional cell carcinoma,only 1 concurrent with small squamous cell carcinoma.Conclusion The combination of different examination method include B-type ultrasonic inspection,IVP,cystoscopy,retrograde pyelography,the detection of cancer cells from urine,CT,MRI and ureteroscopy can increase the preoperative diagnosis rate of primary ureteral carcinoma.The B-type ultrasonic inspection is a basic screening tool,cystoscopy + retrograde pyelography check is the most important examination.Surgery is the major treatment.Sleeve resection of the affected kidney-ureter-bladder is the primary choice of treatment of ureteral cancer.The prognosis mainly depends on the tumor stage and grade,so improve early diagnosis of great significance.
