[French ccAFU guidelines - Update 2018-2020: Upper tract urothelial carcinoma]
Summary
Updated French guidelines for upper tract urothelial carcinoma (UTUC) emphasize CT-scan and ureteroscopy for diagnosis. Radical nephroureterectomy is standard, but conservative endoscopic treatment and adjuvant chemotherapy are recommended for specific cases.
Area of Science:
- Uro-oncology
- Nephrology
- Oncology
Context:
- Upper tract urothelial carcinoma (UTUC) is a rare malignancy.
- Existing French guidelines required updating based on recent evidence.
Purpose:
- To propose updated French guidelines for the diagnosis, treatment, and follow-up of UTUC.
- To incorporate recent evidence and recommendations into clinical practice.
Summary:
- Diagnosis relies on CT-scan and ureteroscopy with biopsy.
- Radical nephroureterectomy (RNU) is the primary surgical option.
- Conservative endoscopic treatment is suitable for low-risk UTUC.
- Adjuvant chemotherapy is recommended for advanced disease post-RNU.
- Bladder chemotherapy instillation reduces recurrence risk after RNU.
Impact:
- Enhance the quality of urological care for UTUC patients in France.
- Standardize diagnostic and therapeutic approaches for UTUC.
- Improve patient outcomes through evidence-based management strategies.
Keywords:
BassinetCancerCarcinome urothélialCytologie urinaireRenal pelvisSurvieSurvivalUreterUreteroscopyUretèreUrinary cytologyUrothelial carcinomaUrétéroscopieMore Related Videos
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