Archivos espanoles de urologia · 1995
[Definitive endourological treatment in urothelial tumors of the upper urinary tract].
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Rodríguez Rodríguez R, Fernández González I, Galbis Sanjuan F, Fernández Fernández E, Escudero Barrilero A, Lovaco Castellanos F
Аннотация
OBJECTIVES: We reviewed our series of upper urinary tract tumors submitted to endoscopic management as definitive treatment.
METHODS: The series comprised 18 patients with transitional cell carcinoma of the upper urinary tract; 14 were treated by the percutaneous approach and 4 by ureteroscopy. All of them were single, papillary and low grade tumors. In 17 patients we analyzed the nephrostomy track for local tumoral seeding.
RESULTS: The mean follow up was 29 months. Fourteen patients remain free of recurrent disease (5-84 months); 2 patients recurred and 2 others were diagnostic errors. No evidence of tumoral seeding was observed.
CONCLUSIONS: Percutaneous or ureteroscopic surgery can achieve cure in selected cases. Local recurrence outside the urinary tract ascribable to percutaneous surgery appears to be unlikely.
METHODS: The series comprised 18 patients with transitional cell carcinoma of the upper urinary tract; 14 were treated by the percutaneous approach and 4 by ureteroscopy. All of them were single, papillary and low grade tumors. In 17 patients we analyzed the nephrostomy track for local tumoral seeding.
RESULTS: The mean follow up was 29 months. Fourteen patients remain free of recurrent disease (5-84 months); 2 patients recurred and 2 others were diagnostic errors. No evidence of tumoral seeding was observed.
CONCLUSIONS: Percutaneous or ureteroscopic surgery can achieve cure in selected cases. Local recurrence outside the urinary tract ascribable to percutaneous surgery appears to be unlikely.