What are the signs and symptoms of urothelial tumors of the renal pelvis and ureters?

Updated: Aug 07, 2020
  • Author: Kyle A Richards, MD, FACS; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

Gross or microscopic hematuria (75%) is the most common clinical presentation of urothelial tumors of the renal pelvis and ureters.

Flank pain (20%) results from gradual obstruction/distention of the collecting system or acute colic due to obstruction by a blood clot.

Lumbar mass is noted in 10-20%.

Dysuria (6%) is reported; some patients report irritative lower urinary tract symptomatology such as burning upon urination.

Weight loss, anorexia, flank mass, or bone pain are symptoms of advanced disease that manifest in a minority of patients.


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