Management of Patients With Upper Urinary Tract Transitional Cell Carcinoma

Jay D Raman; Douglas S Scherr*

Disclosures

Nat Clin Pract Urol. 2007;4(8):432-443. 

In This Article

Surveillance

The recommended follow-up for patients treated for upper-tract TCC should consist of interval history and physical examination, urinary cytology, and surveillance cystoscopy every 3 months for the first 2 years after treatment, every 6 months for the next 2 years, and yearly thereafter if the patient is free from disease recurrence.[27,103] Radiographic studies including chest x-ray and abdominopelvic CT should be performed every 6 months for the first 2 years and then yearly thereafter. Ipsilateral endoscopy for patients who undergo organ-sparing treatment should occur every 6 months for the first 2–3 years, and then yearly thereafter, provided that the patient is disease free. Bone scans should only be performed for symptoms of bone pain or for an elevated alkaline phosphatase level.

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