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报告我院自1991年6月至1995年12月间经手术后病理证实的15例原发性输尿管癌的CT表现及分型,其中男12例,女3例,平均年龄60岁以上。临床表现无痛性、间歇性血尿且多为中老年患者。结合文献对输尿管癌的CT特征诊断价位进行分析,分为3型:无蒂的腔内肿块型;偏心性管壁增厚型;巨大浸润性肿块型。均为单侧发病,部位以输尿管下段居多,术后病理证实为移行细胞癌。我们认为在其它影像检查初步定位的基础上,CT检查对输尿管疾的精确定位和定性及周围组织有关系的诊断具有重要作用。
Report from our hospital from June 1991 to December 1995 confirmed by pathology of 15 cases of primary ureteral carcinoma of the CT manifestations and classification, including 12 males and 3 females, with an average age of 60 years of age or older. Clinical manifestations of painless, intermittent hematuria and mostly elderly patients. Combined with the literature on the diagnosis of ureteral carcinoma CT features price analysis, divided into 3 types: pedicle cavity mass type; eccentric wall thickening type; huge infiltrative mass. Are unilateral disease, the majority of the lower ureteral parts, postoperative pathology confirmed as transitional cell carcinoma. We think that on the basis of the initial location of other imaging examinations, CT examination plays an important role in the diagnosis of the precise localization of ureteral diseases and the relationship between qualitative and peripheral tissues.