What are the ESMO guidelines on the treatment of on treatment 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

The EAU guidelines include the following key treatment recommendations [1]

  • Kidney-sparing management is the primary treatment option for low-risk tumors.
  • Kidney-sparing management should be offered to patients with high-risk distal ureteral tumors.
  • Kidney-sparing management should be offered to select patients with solitary kidney and/or impaired renal function, provided it will not compromise survival.
  • Laser endoscopic treatment can be used for upper tract urothelial carcinoma.
  • For high-risk tumors, radical nephroureterectomy with cuff of bladder and regional lymphadenectomy and postoperative bladder instillation of chemotherapy should be offered

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