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[Upper urinary tract tumours].
J A Portillo Martín1, M A Rado Velázquez, J L Gutiérrez Baños
1Servicio de Urología, Hospital Universitario Valdecilla, Facultad de Medicina, Universidad de Cantabria, Santander.
Actas Urologicas Espanolas
|March 30, 2004
Summary
Upper urinary tract tumors are often linked to bladder cancer, requiring comprehensive management. This panurothelial disease impacts patient survival, necessitating integrated diagnostic and treatment strategies.
Area of Science:
- Urology
- Oncology
Context:
- Upper urinary tract tumors (UUTTs) represent a significant clinical challenge.
- The association between UUTTs and bladder cancer is well-documented but requires further investigation regarding management strategies.
Purpose:
- To evaluate diagnostic techniques, treatment modalities, and follow-up protocols for patients with upper urinary tract tumors.
- To analyze the incidence of synchronous and metachronous bladder tumors in patients with UUTTs.
Summary:
- This study analyzed 94 patients with UUTTs, with a mean age of 65 years, predominantly male (85%).
- Diagnostic methods included urography (93%), ecography (77%), and CT (67%). The most common treatment was total nephroureterectomy with bladder cuff excision (76.4%).
- A high frequency of prior, simultaneous, or delayed bladder tumors (23% and 30% respectively) was observed, impacting the 53% survival rate after a 76-month follow-up.
Impact:
- Findings suggest UUTTs should be viewed as a manifestation of panurothelial disease, influencing patient prognosis.
- Highlights the critical need for integrated surveillance and management of both upper and lower urinary tract urothelial neoplasms.