Management of superficial transitional cell carcinoma in the intramural ureter: What to do?

J. Palou, J. Salvador, F. Millán, A. Collado, F. Algaba, J. Vicente

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17 Citations (Scopus)

Abstract

Purpose: We analyze the evolution of superficial transitional cell carcinoma in the intramural distal ureter treated with transurethral resection. Materials and Methods: A total of 19 patients underwent transurethral resection of the intramural distal ureter with a mean followup of 57 months. All cases were diagnosed as superficial transitional cell carcinoma and all but 2 had a history of bladder tumor. Upper urinary tract followup consisted of excretory urography every 6 months and ureterorenoscopy in cases with a doubtful diagnosis or positive cytology. Results: Pathological examination revealed stage Ta disease in 42%, T1 in 31.5% and Tx in 26.3% of intramural tumors. Upper urinary tract recurrence was noted in 8 patients (42.1%), including 5 (62.5%) with involvement of the distal ureter. Nontumoral stenosis of the distal ureter in 3 cases was treated endoscopically. An endoscopic procedure resolved 75% of recurrences. A high surgical risk patient who did not undergo open surgery died of recurrence. Conclusions: Superficial transitional cell carcinoma of the intramural ureter is uncommon in the setting of multiple bladder tumors and recurrent bladder carcinoma. There was a 42.1% rate of ipsilateral recurrence and endoscopic treatment allowed us to preserve 89.5% of the involved renal units. Closer followup of the urinary tract must be performed since these tumors have a higher incidence of upper urinary tract recurrence.
Original languageEnglish
Pages (from-to)744-747
JournalJournal of Urology
Volume163
Issue number3
DOIs
Publication statusPublished - 1 Jan 2000

Keywords

  • Carcinoma
  • Transitional cell
  • Ureteral neoplasms
  • Urinary tract

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