PD7-10 TURBT OF THE INTRAMURAL PORTION OF THE DISTAL URETER: PREDICTIVE FACTORS FOR SECONDARY STENOSIS AND DEVELOPMENT OF UPPER URINARY TRACT TUMOURS

2015 ◽  
Vol 193 (4S) ◽  
Author(s):  
Oscar Rodríguez Faba ◽  
Pablo Juárez del Dago ◽  
Josep Maria Gaya ◽  
Joan Palou ◽  
Ferran Algaba ◽  
...  
2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Dominik Abt ◽  
Gautier Müllhaupt ◽  
Livio Mordasini ◽  
Pierre André Diener ◽  
Hans-Peter Schmid

Primary adenocarcinoma of the upper urinary tract, particularly of the ureter, is an extremely rare entity. We are reporting on the first case of metachronous appearance in one patient. The 71-year-old man underwent partial ureterectomy (R0 resection) for primary adenocarcinoma of the left distal ureter. 3 years later, nephroureterectomy had to be performed because of metachronous primary adenocarcinoma of the left proximal ureter. Extensive examinations revealed no evidence for further malignancies at both times. Primary adenocarcinoma of the upper urinary tract is rare but should be kept in mind, especially in patients with chronic inflammation and urinary tract obstruction. Due to the low incidence, there is a lack of data regarding its pathogenesis, diagnosis, and optimal treatment.


2009 ◽  
Vol 2009 ◽  
pp. 1-14 ◽  
Author(s):  
Georgios Koukourakis ◽  
Georgios Zacharias ◽  
Michael Koukourakis ◽  
Kiriaki Pistevou-Gobaki ◽  
Christos Papaloukas ◽  
...  

Urothelial carcinoma of the upper urinary tract represents only 5% of all urothelial cancers. The 5-year cancer-specific survival in the United States is roughly 75% with grade and stage being the most powerful predictors of survival. Nephroureterectomy with excision of the ipsilateral ureteral orifice and bladder cuff en bloc remains the gold standard treatment of the upper urinary tract urothelial cancers, while endoscopic and laparoscopic approaches are rapidly evolving as reasonable alternatives of care depending on grade and stage of disease. Several controversies remain in their management, including a selection of endoscopic versus laparoscopic approaches, management strategies on the distal ureter, the role of lymphadenectomy, and the value of chemotherapy in upper tract disease. Aims of this paper are to critically review the management of such tumors, including endoscopic management, laparoscopic nephroureterectomy and management of the distal ureter, the role of lymphadenectomy, and the emerging role of chemotherapy in their treatment.


2005 ◽  
Vol 96 (7) ◽  
pp. 1031-1035 ◽  
Author(s):  
Jay D. Raman ◽  
Casey K. Ng ◽  
Stephen A. Boorjian ◽  
E. Darracott Vaughan ◽  
R. Ernest Sosa ◽  
...  

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