摘要
微乳头状尿路上皮癌(MPUC)是泌尿系统少见的高级别浸润性癌,易发生淋巴、血行和远处转移,预后差。本文报道1例漏诊+误诊为肠道神经内分泌肿瘤的输尿管MPUC患者。通过病理确诊后行吉西他滨+卡铂辅助化疗,随访11个月,患者因肿瘤全身多发转移死亡。
Micropapillary urothelial carcinoma(MPUC)represents a rare but aggressive variant of urothelial carcinoma characterized by early lymphovascular invasion,distant metastasis,and poor clinical outcomes.We present a diagnostically challenging case of ureteral MPUC initially misdiagnosed as intestinal neuroendocrine tumor.After the pathological diagnosis was confirmed,the patient received adjuvant chemotherapy with gemcitabine and carboplatin.Despite therapeutic intervention,the patient developed widespread metastases and succumbed to the disease within 11 months of follow-up.
作者
刘源浩
贺柯瑾
董辉
俞花
钱尤雯
Liu Yuanhao;He Kejin;Dong Hui;Yu Hua;Qian Youwen(Student Brigade,School of Basic Medicine,Naval Medical University,Shanghai 200433,China;Department of Pathology,Third Affiliated Hospital,Naval Medical University,Shanghai 200438,China)
出处
《中华泌尿外科杂志》
北大核心
2025年第4期297-299,共3页
Chinese Journal of Urology
