Synchronous multifocal development of invasive transitional cell carcinoma of the urinary tract in a patient with renal failure receiving long-term hemodialysis: a case report

因肾衰长期血透患者同时发生泌尿道多灶性侵袭性移行细胞癌个例报道

1) We report a case of transitional cell carcinoma in a patient with chronic renal failure receiving hemodialysis for 22 years.

本文报道1例慢性肾衰患者接受血透22年后出现移行细胞癌。

2) A 55-year- old man was admitted to our hospital.

一名55岁男性住入我院。

3) Under diagnosis of invasive bladder cancer and left renal pelvic tumor, removal of the whole urinary tract, e.g., bilateral nephroureterectomy and total cystourethrectomy was performed.

诊断为侵袭性膀胱癌与左肾盂肿瘤后，行全尿道切除术，包括双侧肾输尿管切除术与全膀胱尿道切除术。

4) Transitional cell carcinoma was found in bilateral renal pelvis, left ureter, bladder and prostate in the resected specimen.

在双侧肾盂、左侧输尿管、膀胱以及前列腺的切除标本中见有移行细胞癌。

5) Thirteen months after the operation, multiple lung metastases and pathologic bone fracture of the 4th lumber vertebra were found.

术后13个月，见有多发性肺转移与第四腰椎病理性骨折。

6) Chemotheraру (3 courses of modified CISCA,consisting of cisplatin, adriamycin and cyclophosphamide) was performed, but the died of systemic metastases of cancer and bleeding due to perforation of multiple gastric ulcers.

予以化疗（3个疗程的改良CISCA 方案，包括顺铂、阿霉素与环磷酰胺），但最后死于全身转移性癌与多灶性胃溃疡穿孔出血。

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