[CCAFU Recommendations 2013: Upper urinary tract carcinoma].
C Pfister, M Roupret, Y Neuzillet
1Membres experts du sous-comité vessie.
Summary
Updated guidelines for upper tract urothelial carcinoma (UTUC) emphasize diagnosis via CT-scan and ureteroscopy. While radical nephro-urectomy is standard, conservative endoscopic treatment and close monitoring are options for select UTUC cases.
Area of Science:
- Urology
- Oncology
Context:
- Upper tract urothelial carcinoma (UTUC) is a rare malignancy.
- Existing guidelines required updating to reflect current evidence.
Purpose:
- To update the French Urological Association Cancer Committee guidelines for UTUC diagnosis, treatment, and follow-up.
- To evaluate recent literature (2010-2013) on UTUC management.
Summary:
- Diagnosis relies on CT-scan during excretion and ureteroscopy with biopsy.
- Radical nephro-urectomy is the gold standard surgical treatment.
- Conservative endoscopic management is feasible for specific UTUC cases (unifocal, <1cm, low grade, non-invasive on CT), requiring close endoscopic surveillance.
Impact:
- Aims to improve patient management, diagnosis, and treatment of UTUC.
- Provides evidence-based recommendations for clinicians treating UTUC.
Keywords:
BassinetCarcinome urothélial haut appareilCytologie urinaireCytologyNéphrourétérectomieRadical nephroureterectomyRenal pelvisSurvieSurvivalUpper tract urothelial carcinomaUreterUreteroscopyUretèreUrétéroscopieMore Related Videos
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