[PDF] Canadian guidelines for postoperative surveillance of upper urinary tract urothelial carcinoma

Source:
Canadian Urological Association
Publisher:
Canadian Urological Association
Publication date:
01 June 2013

Abstract

Upper urinary tract urothelial carcinoma (UTUC) is a rare malignancy, accounting for 5% of urothelial tumours. The gold standard management for non-metastatic UTUC is radical nephrouretectomy with bladder cuff excision. Nephron-sparing procedures, including segmental ureterectomy and endoscopic ablation or resection, are often employed in select patients. Postoperative recurrences are common. The primary aims of postoperative surveillance for UTUC are to identify urothelial recurrences, de novo tumours of the urinary tract, and distant metastases at early stages when they may be amenable to treatment. The rarity of the disease, as well as the heterogeneity of treatments, complicates the task of developing a standard follow-up protocol.