Conservative Surgery for Transitional Cell Carcinoma of the Renal Pelvis

Ziegelbaum, Michael; Novick, Andrew C.

doi:10.1016/s0022-5347(17)76058-2

Cited by 7 publications

(7 citation statements)

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“…4,5 The realization that TCC was a panurothelial disease and most often tumors were of low grade and stage led to less-extensive resections and the emergence of conservative management of upper-tract TCC. 6,7 The development over time of rigid and flexible endoscopes, along with improved optics and instrumentation, resulted in the dawn of endoscopic surveillance and treatment of upper-tract TCC. These rapid changes resulted in a spectrum of surveillance and management scenarios based on the form of therapy the patient underwent.…”

Section: Introductionmentioning

confidence: 99%

Current Practice Patterns in Urologic Management of Upper-Tract Transitional-Cell Carcinoma

Razdan

Johannes

Cox

et al. 2005

Journal of Endourology

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This study confirms that most urologists treating upper-tract TCC follow the principles reported in the published literature regarding the management of these patients. Further, most urologists, regardless of society affiliations or years in practice, favor minimally invasive techniques for the management of upper-tract TCC. This information may be useful in formulating clear guidelines for the management of this disease.

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Section: Introductionmentioning

confidence: 99%

Current Practice Patterns in Urologic Management of Upper-Tract Transitional-Cell Carcinoma

Razdan

Johannes

Cox

et al. 2005

Journal of Endourology

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“…3 In patients with a solitary kidney, renal insufficiency, or bilateral UTTCC or who are poor operative risks, endoscopic tumor resection and ablation is a reasonable option. 4 In certain patients with normal contralateral kidneys, small focal low-grade tumors can also be treated safely. Our group and others have shown that survival is not compromised by local resection in these patients.…”

Section: Introductionmentioning

confidence: 99%

Ureteroscopic Surgery for Upper Tract Transitional-Cell Carcinoma: Complications and Management

Chen

Bagley²

2001

Journal of Endourology

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“…Partial nephrectomy is an established procedure for renal cell cancer, even in the presence of a solitary kidney [7,13,14]. However, the role of nephron‐sparing surgery for RUCs remains unclear, although its use has been reported [8,15–17]; recently, the Cleveland Clinic published the largest series and concluded that it should be considered in a selected population [8]. Open partial nephrectomy was suggested for endoscopically difficult RUCs, uncertain pathological state and advanced tumour in a solitary kidney.…”

Section: Discussionmentioning

confidence: 99%

Partial nephrectomy and autotransplantation with pyelovesicostomy for renal urothelial carcinoma in solitary kidneys: a clinical update

et al. 2007

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OBJECTIVE To evaluate the indications and outcomes after partial nephrectomy and renal autotransplantation for urothelial cancer in solitary kidneys, with special attention to the ease of endoscopic tumour control after pyelovesicostomy. PATIENTS AND METHODS In all, 978 records of three institutions were reviewed for patients undergoing partial nephrectomy between January 1990 and December 2000. Ex vivo organ‐preserving surgery was used in selected patients with a solitary kidney and localized pelvic or calyceal tumour. Autotransplantation was established using a pyelovesicostomy. The follow‐up included ultrasonography, pelvi‐cystoscopy, urine cytology, computed tomography, renal functional evaluation and video‐urodynamics. The study included four patients aged 52–56 years, with a follow‐up of 6–14 years. RESULTS The histopathological status was pT1G2R0 in two and pT1G1R0 in the other two patients. One of them had an additional papilloma in the upper ureter. All patients entered a protocol of mitomycin/bacille Calmette‐Guérin instillation therapy after surgery. The patients are currently alive with no recurrences. There is stable kidney function despite vesico‐renal reflux, and normal bladder function with no subvesical obstruction. CONCLUSIONS Partial nephrectomy and renal autotransplantation for renal urothelial cancer in solitary kidneys is feasible, but should only be used in the rarest cases, and for the most selective indications. Dialysis and renal replacement can be avoided. Pyelovesicostomy allows effective chemotherapy instillation therapy, and easy and secure urothelial cancer control of the upper urinary tract.

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Conservative Surgery for Transitional Cell Carcinoma of the Renal Pelvis

Cited by 7 publications

References 0 publications

Current Practice Patterns in Urologic Management of Upper-Tract Transitional-Cell Carcinoma

Current Practice Patterns in Urologic Management of Upper-Tract Transitional-Cell Carcinoma

Ureteroscopic Surgery for Upper Tract Transitional-Cell Carcinoma: Complications and Management

Partial nephrectomy and autotransplantation with pyelovesicostomy for renal urothelial carcinoma in solitary kidneys: a clinical update

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