Related Experiment Videos
Urinary tract involvement by colorectal cancer
Deborah A McNamara1, John M Fitzpatrick, P Ronan O'Connell
1Department of Surgery, University College Dublin, Mater Misericordiae Hospital, Dublin, Ireland.
Diseases of the Colon and Rectum
|September 16, 2003
Summary
Colorectal cancer rarely involves the urinary tract, but management requires careful consideration of technical and oncologic factors for complex cases. This review highlights strategies to improve outcomes for patients with urinary tract involvement from colorectal cancer.
Area of Science:
- Oncology
- Urology
- Surgical Oncology
Background:
- Colorectal cancer (CRC) involvement of the urinary tract is uncommon.
- Managing these complex cases presents unique surgical and oncological challenges.
Purpose of the Study:
- To review technical and oncological issues in managing colorectal cancer involving the urinary tract.
- To provide guidance for surgeons dealing with this rare presentation.
Main Methods:
- Literature review of studies from 1975 to 2001 using MEDLINE.
- Analysis of retrospective studies due to the rarity and diverse presentations of urologic involvement.
Main Results:
- Identified three scenarios: primary CRC, recurrent CRC, and intraoperative findings of urinary tract involvement.
- Management strategies for locally advanced or recurrent CRC involving the urinary tract improve survival.
- Preoperative assessment reduces unexpected intraoperative findings; endourologic techniques and surgery offer palliation.
Conclusions:
- Urinary tract involvement by CRC necessitates individualized patient and disease-specific management.
- Existing literature provides guidelines for decision-making in these challenging cases.