从乳腺癌转移的次要阻塞性尿路病变
Gautam Shubhankar1, Vikas Kumar Panwar2, Ankur Mittal1
1Urology, AIIMS Rishikesh, Rishikesh, Uttarakhand, India.
BMJ case reports
|February 3, 2025
概括
转移性乳腺癌可能导致罕见的阻塞性尿路病,导致损伤. 早期诊断和息治疗对于治疗癌症患者这种并发症至关重要.
科学领域:
- 在瘤学瘤学.
- 腎臟病學 (nephrology) 是一種醫學專業.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 恶性尿管狭窄造成的阻塞性尿路病变并不常见.
- 乳腺癌很少导致尿路阻塞,占这种病例的不到2%.
研究的目的:
- 介绍一个患有乳腺癌的患者,患有双边尿管阻塞的病例.
- 强调在癌症幸存者中考虑阻塞性尿路病的恶性原因的重要性.
主要方法:
- 一个患有乳腺癌病史的患者的病例报告,呈现出阻塞性尿路病变的症状.
- 诊断工作包括成像 (显示双边水尿透) 和转移性乳腺癌的确认.
- 治疗包括缓解性放射疗法和尿路转移 (皮肤穿术).
主要成果:
- 患者出现严重症状,包括侧侧疼痛,吐,发烧和急性损伤 (血清肌12 mg/dL).
- 转移性乳腺癌被确定为双边尿管狭窄的原因.
- 为了症状管理,启动了息性放射治疗.
结论:
- 在患有阻塞性尿路病症的癌症患者中,应考虑恶性尿路收缩.
- 彻底的诊断评估,包括先进的成像,如FDG-PET扫描,至关重要.
- 早期的尿路转移和向治疗是患者结果和疾病管理的关键.
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