혈액투석을 받는 환자에서 발병된 다발성 요로상피암에 대한 전요로장기적출술
Bilateral Nephroureterectomy with Radical Cystectomy for Urothelial Tumor Involving the Renal Pelvis, Ureter and Bladder in a Patient Receiving Hemodialysis
이경훈, 조인래, 조성용, 김한성, 최용혁,
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이경훈 ( Lee Kyeong-Hoon )
인제대학교 의과대학 비뇨기과학교실
조인래 ( Cho In-Rae )
인제대학교 의과대학 비뇨기과학교실
조성용 ( Cho Soung-Yong )
인제대학교 의과대학 비뇨기과학교실
김한성 ( Kim Han-Seong )
인제대학교 의과대학 병리학교실
최용혁 ( Choi Yong-Hyuk )
인제대학교 의과대학 비뇨기과학교실
KMID : 0358320080490111046
Abstract
Transitional cell carcinoma such as renal cell carcinoma is the relatively common urinary tract cancer in patients who are on dialysis. A 66-year-old male patient, who had been on maintenance hemodialysis for 5 years, was suffering from gross hematuria. The subsequent image studies revealed multiple masses at the right renal pelvis, the right distal ureter and the trigonal area at the bladder. We performed cystoscopy to evaluate the multiple bladder papillary masses and their blood clots. The patient then underwent bilateral radical nephroureterectomy and radical cystectomy. Histological examination revealed the papillary urothelial carcinoma. Our case may imply that dialysis patients have an increased susceptibility to urological malignancies. Physicians should always raise the possibility of urological malignancy when encountering a dialysis patient with gross hematuria. Because of the high recurrence rate, a more extensive operation and aggressive follow-up protocols should be done for these patients on dialysis.
키워드
Kidney;Dialysis;Carcinoma;Transitional cell;Urinary tract
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