Article
Medicine, General & Internal
Wojciech Polom, Wojciech Cytawa, Anna Polom, Mikolaj Frankiewicz, Edyta Szurowska, Piotr Lass, Marcin Matuszewski
Summary: The study evaluated the possibility of detecting sentinel lymph nodes in patients with suspicion of upper tract urothelial carcinoma using a radioisotope-based technique. Results showed that detecting SLNs in the upper urinary tract is possible yet challenging, with only 2 out of 19 cases detecting SLNs. Most cases did not show lymphatic outflow.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Oncology
Keiichiro Mori, Satoshi Katayama, Ekaterina Laukhtina, Victor M. Schuettfort, Benjamin Pradere, Fahad Quhal, Reza Sari Motlagh, Hadi Mostafaei, Nico C. Grossmann, Pawel Rajwa, Kristin Zimmermann, Pierre Karakiewicz, Mohammad Abufaraj, Harun Fajkovic, Morgan Roupret, Vitaly Margulis, Dmitry Enikeev, Shin Egawa, Shahrokh F. Shariat
Summary: This study evaluated the diagnostic ability of ureteroscopic biopsy and computed tomography urography to predict the final pathological tumor stage and grade in patients with upper tract urothelial carcinoma (UTUC). Clinical understaging/undergrading and upstaging to muscle-invasive disease occurred in a high proportion of UTUC patients.
CLINICAL GENITOURINARY CANCER
(2022)
Article
Urology & Nephrology
Andrea Gallioli, Angelo Territo, Asier Mercade, Matteo Fontana, Romain Boissier, Josep Maria Gaya, Esteban Emiliani, Antoni Sanchez-Puy, Maria Jose Martinez, Joan Palou, Alberto Breda
Summary: This study evaluates the reliability of computerized tomography urography and ureteroscopy in the diagnosis and management of upper tract urothelial carcinoma. Results show a higher detection rate of upper tract urothelial carcinoma with ureteroscopy in cases with positive CT urography, and a lower rate in cases with negative CT urography. Multivariate analysis indicates that filling defect and hydronephrosis are factors associated with ureteroscopy outcomes.
JOURNAL OF UROLOGY
(2021)
Article
Urology & Nephrology
Matthew Trail, Muhammad Sajid Waheed Rahman, William J. Broadhurst, James P. Blackmur, Abhishek Sharma, Etienne Chew, Marie O'Donnell, Julian Y. Keanie, John Brush, John Taylor, Simon Phipps, Ben Thomas, Edward A. A. Mains, S. Alan McNeill, Steve Leung, Mark L. Cutress, Alexander Laird
Summary: The aim of this study was to identify factors that may predict a diagnosis of upper urinary tract urothelial cell carcinoma (UTUC) and determine which patients can proceed directly to radical nephroureterectomy (RNU) without the delay of diagnostic ureteroscopy (URS). The study identified specific factors, such as visible haematuria, solid lesion on imaging, and a history of smoking, which may assist clinicians in selecting patients for RNU without the need for URS. These findings can be applied in a prospective multicentre analysis to further improve the selection process.
Review
Oncology
Zheng Wang, Haoqing Shi, Yifan Xu, Yu Fang, Jiaao Song, Wentao Jiang, Demeng Xia, Zhenjie Wu, Linhui Wang
Summary: This comprehensive review focuses on the current status and future prospects of intravesical therapy for upper urinary tract urothelial carcinoma (UTUC). It emphasizes the importance of personalized strategies in optimizing treatment outcomes and reducing intravesical recurrence risk. By summarizing historical development, clinical trials, and clinical applications, this review provides valuable insights and aims to guide future research in UTUC.
Article
Radiology, Nuclear Medicine & Medical Imaging
Hiroaki Takahashi, Kohei Sasaguri, Akitoshi Inoue, Mitsuru Takeuchi, Stephen A. Boorjian, Rafeal E. Jimenez, Akira Kawashima, Naoki Takahashi
Summary: This study evaluated the CT characteristics and detectability of carcinoma in situ (CIS) of the upper urinary tract. The common abnormal finding of pure CIS was wall thickening, and a minority of cases presented as mass-forming lesions, mostly located in the renal collecting system.
EUROPEAN RADIOLOGY
(2022)
Article
Oncology
Yulong Pan, Zeyu Chen, Lanqing Yang, Xingyuan Wang, Zeng Yi, Liang Zhou, Yongjiang Chen, Lu Yang, Hui Zhuo, Yige Bao, Qiang Wei
Summary: The study assessed the association between body composition and prognosis in UTUC patients treated with radical nephroureterectomy. Body composition parameters were found to be independent predictors of prognosis, aiding in patient stratification and postoperative treatment optimization.
FRONTIERS IN ONCOLOGY
(2021)
Article
Oncology
Thomas van Doeveren, Jose A. Nakauma-Gonzalez, Andrew S. Mason, Geert J. L. H. van Leenders, Tahlita C. M. Zuiverloon, Ellen C. Zwarthoff, Isabelle C. Meijssen, Angelique C. van der Made, Antoine G. van Der Heijden, Kees Hendricksen, Bas W. G. van Rhijn, Charlotte S. Voskuilen, Job van Riet, Winand N. M. Dinjens, Hendrikus J. Dubbink, Harmen J. G. van de Werken, Joost L. Boormans
Summary: By sequencing genes in 15 UTUC patients treated by RNU, it was found that the majority of patients had a clonal relationship between UTUC and subsequent UCB, supporting the idea that UCBs following UTUC surgery are primarily clonally derived recurrences.
INTERNATIONAL JOURNAL OF CANCER
(2021)
Article
Urology & Nephrology
Seong Hyeon Yu, Young Hoe Hur, Eu Chang Hwang, Myung Soo Kim, Ho Seok Chung, Byung Chan Lee, Suk Hee Heo, Chan Choi, Jun Eul Hwang, Woo Kyun Bae, Seung Il Jung, Dong Deuk Kwon
Summary: The study found that MDCTU has higher diagnostic accuracy for low T stage tumors in UTUC, but lower accuracy for advanced T stage tumors. Among the 125 patients, the overall accuracy of MDCTU in diagnosing low and advanced T stage tumors was 80.8%. There was good agreement between MDCTU T stage and pathologic T stage.
INTERNATIONAL UROLOGY AND NEPHROLOGY
(2021)
Review
Oncology
Alireza Ghoreifi, Reza Sari Motlagh, Gerhard Fuchs
Summary: This paper reviewed the latest evidence on kidney-sparing surgeries for patients with upper tract urothelial carcinoma (UTUC). The findings suggest that these surgeries are acceptable for low- and select high-risk patients, preserving renal function without compromising oncological outcomes.
Article
Health Care Sciences & Services
Asaf Shvero, Orel Carmona, Dorit E. Zilberman, Zohar A. Dotan, Miki Haifler, Nir Kleinmann
Summary: This study aimed to evaluate the variability in diagnosis and treatment strategies for upper tract urothelial carcinoma (UTUC) and adherence to guidelines among endourologists. A survey was conducted with 88 urologists, revealing that only 51% adhered to guidelines for endoscopic management indications. The majority used holmium laser for tumor ablation and had varying preferences for biopsy methods. There was significant variability in the technical aspects of UTUC, treatment indications, and adherence to guidelines.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Review
Urology & Nephrology
Morgan Roupret, Marko Babjuk, Maximilian Burger, Otakar Capoun, Daniel Cohen, Eva M. Comperat, Nigel C. Cowan, Jose L. Dominguez-Escrig, Paolo Gontero, A. Hugh Mostafid, Joan Palou, Benoit Peyronnet, Thomas Seisen, Viktor Soukup, Richard J. Sylvester, Bas W. G. van Rhijn, Richard Zigeuner, Shahrokh F. Shariat
Summary: The updated EAU guidelines on UTUC aim to assist clinicians in evidence-based management, providing recommendations on diagnosis, risk stratification, radical and conservative treatment, and prognostic factors. Due to the rarity of UTUC, there is insufficient data to provide strong recommendations. Recommendations are based on the 2017 TNM classification and emphasize individualized treatment based on proposed risk stratification.
Article
Oncology
Kosuke Miyai, Kazuki Kawamura, Keiichi Ito, Susumu Matsukuma, Hitoshi Tsuda
Summary: The study revealed that high stromal periostin expression in invasive UTUCs is associated with adverse clinicopathological factors and may be a useful predictor for patient outcomes.
Article
Biochemistry & Molecular Biology
Alessandra Cinque, Anna Capasso, Riccardo Vago, Matteo Floris, Michael W. Lee, Roberto Minnei, Francesco Trevisani
Summary: Upper urinary tract urothelial carcinoma (UTUC) is a rare but aggressive malignancy occurring in the renal pelvis or ureter. UTUC is often diagnosed at an advanced stage due to non-specific symptoms and the lack of early biomarkers. However, microRNAs (miRNAs) show promise as novel biomarkers for optimizing the diagnosis and prognosis of UTUC.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Shigeki Koterazawa, Shinya Somiya, Katsuhiro Ito, Takao Haitani, Yuki Makino, Ryuichiro Arakaki, Norio Kawase, Yoshihito Higashi, Hitoshi Yamada, Toru Kanno
Summary: This study evaluated the efficacy of ultrasonography compared to computed tomography urography for the detection of upper tract urothelial carcinoma. The findings showed that ultrasonography has acceptable sensitivity for the diagnosis of upper tract urothelial carcinoma. Combining the detection of hydronephrosis with gross hematuria and positive urine cytology can reduce the need for excessive computed tomography examinations.
JOURNAL OF MEDICAL ULTRASONICS
(2023)