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Tumors of the renal pelvis and the ureter associated with bladder tumor



Tumors of the renal pelvis and the ureter associated with bladder tumor



Journal of China Medical University 24(2): 176-178



93 cases of renal pelvis and ureteral tumors were operated in our department from January 1980 to February 1994, with 81 cases followed up. There were 3 cases secondary to bladder tumor, 10 cases of synchronous bladder tumors (SyBT), and 29 cases of subsequent bladder tumor (SuBT). Occurrences of SuBT among the cases after nephroureterectomy without partial cystectomy were higher than those with partial cystectomy (P lt 0.05). Occurrences of SuBT at the orifice of ureter at ill side among the cases without partial cystectomy were higher than those with partial cystectomy (P lt 0.01). Postoperative occurrences of SuBT among the cases with SyBT were much higher than those without SyBT (P lt 0.01). Occurrences of SuBT among the cases with higher cell differentiation were more commonly seen. Postoperative occurrences of SuBT among the cases in stage I and II were higher than those in stage III and IV (P lt 0.01). Subsequent occurrence time was within 3 years in most cases. 5-year survival of the cases with SyBT (25%) was obviously lower than those without SyBT (65.7%). There was no obvious difference between SuBT (47.4%) and non-SuBT (64. 0%) in their 5-year survival (P gt 0.05). In this article, diagnosis, treatment and prevention of renal pelvis and ureteral tumors associated with bladder were discussed.

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