What are the NCCN and EAU recommendations for the diagnosis of upper tract urothelial carcinoma (UTUC) bladder cancer?

Updated: Feb 23, 2021
  • Author: Kara N Babaian, MD, FACS; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

The NCCN states that patients with suspected upper tract urothelial carcinoma (UTUC), including both renal pelvis and ureteral tumors, should undergo cystoscopy, upper tract imaging with retrograde ureteropyelography, ureteroscopy with biopsy and/or selective washings, and optional urine cytology. A chest x-ray can help to evaluate for metastatic disease. Additionally, evaluation for Lynch syndrome should be considered. given the syndrome's high prevalence in patients with UTUC. [1]


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