What is the NCCN recommended preferred approach for imaging of the upper tract in the diagnosis of bladder cancer?

Updated: Feb 23, 2021
  • Author: Kara N Babaian, MD, FACS; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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For imaging of the upper tract, CT urography is generally the preferred approach. Other options are an intravenous pyelogram (IVP), renal ultrasound with retrograde pyelogram, ureteroscopy, or MRI urogram. If the tumor has a purely papillary appearance or only the mucosa appears to be abnormal, suggesting carcinoma in situ (CIS), upper tract imaging can be deferred until after surgery.

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