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中華民國泌尿科醫學會雜誌

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篇名 Endoscopic Management of Upper Urinary Tract Transitional Cell Carcinoma: Cases Report and Literature Review
卷期 8:3
並列篇名 使用內視鏡手術治療上泌尿導移形上皮細胞癌之病例報告及文獻回顧
作者 陳兆智黃一勝莊光達葉忠信鄭以弘仇光宇
頁次 148-151
關鍵字 移形上皮細胞癌腎臟剸連管切除卡介苗經皮穿腎造廔輸尿管鏡transitional cell carcinomanephroureterectomybacillus Calmette-Guerin percutaneous nephostomyureteroscopyTSCI
出刊日期 199709

中文摘要

對於上泌尿導移形上皮細胞癌,腎臟輸尿管合併同側膀胱袖口切除乃為多數人所公認之標準療法。然而,隨著器械及技術之精進,使用內視鏡手術治療法,對於某些選擇性病患而言,亦被考慮為另一種治療之選擇。本文發表兩位上泌尿導移形上皮細胞癌病患,於本院接受內視鏡手術(經輸尿管鏡及經皮穿腎)刮除腫瘤,並且加上卡介苗灌注作輔助性治療。兩位患者皆達到良好療效。故我們認為,對於某些必須保留其腎臟功能或不適宜接受大手術之患者,以內視鏡手術治療上泌尿導移形上皮細胞癌,為另一種可行之選擇。

英文摘要

The standard treatment of an upper urinary tract transitional cell carcinoma is neph-roureterectomy with removal of the bladder cuff. Recently, conservative approaches have been suggested for selected patients. With technological advances in instrumentation and techniques the endoscopic approach to upper tract transitional cell carcinoma becomes an alternative to the open surgery. We report our initial experience in the treatment of two patients with upper urinary tract transitional cell carcinoma with intracavitary bacillus Calmette-Guerin (GCG). Both of them had smooth outcome and were free of tumor recurrence. We conclude that endoscopic techniques may provide satisfactory treatment for selected for selected individuals with upper urinary tract transitional cell carcinoma when preservation of functioning kidney is necessary. (J Urol R.O.C., 8:148-151,1997)

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