| Objective:To improve the level of diagnosis to primary ureteral carcinoma through analysisof clinical cases with primary ureteral carcinoma. Methods:Clinical data of 32 cases of patients with primary ureteral carcinoma who hospitalized in our hospital between 2002 and 2007 were analyzed retrospectively. The preoperation examination and diagnostic data were compared with operation and pathology diagnoses .Results: 27 patients underwent primary ureteral cancer in our department.The patients consisted of 16 males and 11 females.The range of age was 40 to 83,the average age was 66 years. The history of disease was 3 days to 2 years.The cancer was right sided in 12 Patients and left sided in 15 Patients. In these patients,27 cases were confirmed ultrasound,18 cases were conformed intravenous urogram,12 cases were confirmed retrograde pyelograph, 16 cases were confirmed CT,8 cases were confirmed MRU, examination of ureteroseope was given to 6 patients,8 cases were received examination of exfoliocytology. the accurate rate of diagnosiswas 44.4%,16.7%,83.3%,81.3%,25%,100% and 50% respectively.Conclusion:Ultrasound can be used to sereening the disease.As to patients who are detected abnormal by ultrasound,urography is the further method to diagnose primary ureteral cancer;CT can be used to diagnose and stage primary ureteral cancer;there is no report to show that MR is superior to CT up to now;Examination of ureteroseope and biopsy is the most precise method to diagnose primary ureteral cancer.But beeause of its expension and atrauma,it only be used to few patients. |
