Our experience in diagnostic and treatment of the upper urothelial tract tumours
Radu, V.; Novac, C.; Suditu, N.; Gheorghiu, V.
Revista Medico-Chirurgicala a Societatii de Medici Si Naturalisti Din Iasi 108(1): 134-138
2004
ISSN/ISBN: 0048-7848 PMID: 15688770 Document Number: 569882
The aim of the study was to analyse methods of diagnostic and treatment used in our clinic in patients with upper urothelial tract tumors in recent years. We studied retrospectively 117 files of patients diagnosed with upper tract tumors between 1996-2002. The diagnostic was based in 99 cases by urography, retrograde pyelography or both, in 10 cases by cystoscopy (for intramural ureteral tumors), in 8 cases by ureteroscopy and one case was diagnosed by antegrade pyelography. Ultrasound didn't diagnosed solely any tumor. Computerized tomography was also be helpful for staging. Radical treatment was realised in 73 patients (total nephroureterectomy), in 4 patients ureterectomy of the ileo-pelvic segment were realised by stripping. In 20 patients, we performed subtotal nephroureterectomy, in 9 patients transurethral resection, in 2 cases terminal ureterectomy, and in one case we done endoscopic electrocauterization after cold biopsy. The most important paraclinical investigation in diagnostic of upper urothelial tract tumors are radiological investigations, urography and retrograde pyelography. Best way to cure such tumors are total nephroureterectomy. In select cases we can perform terminal ureterectomy and transurethral electroresections.