What are the EAU recommendations for management of 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 EUA provides recommendations for conservative management, as well as recommendations for radical nephroureterectomy (RNU). The indications for RNU are as follows: [145]

  • Suspicion of infiltrating UTUC on imaging
  • High-grade tumor
  • Multifocality (in patients with two functional kidneys)
  • Noninvasive but large (>2 cm) UTUC
  • Neoadjuvant chemotherapy should be considered in all of these categories (however, this has not been adequately studied in randomized clinical trials)

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