Upper Tract Tumors

MRI has become an increasingly important modality for evaluating the upper urinary tract. Although CT urography remains the standard imaging modality for assessing hematuria, MRI offers distinct advantages, including superior soft-tissue contrast, functional imaging capability, and a radiation-free evaluation, making it particularly valuable in certain clinical scenarios.

Current surveillance of bladder recurrence for upper tract urothelial carcinoma (UTUC) is limited by invasiveness and sensitivity. There is an urgent need for noninvasive detection tool. We previously developed utLIFE, a urine tumor DNA model combining mutation profiling and fragmentomics.

To evaluate the prognostic value of tumor size in patients with low-risk upper tract urothelial carcinoma (UTUC) undergoing radical nephroureterectomy (RNU).

A retrospective multicenter European analysis was conducted on 3,987 patients treated for UTUC at 17 academic institutions.

Intravesical chemotherapy (IC) administered perioperatively after nephroureterectomy (NUx) for upper tract urothelial carcinoma (UTUC) reduces intravesical recurrence based on two randomized trials and is endorsed by contemporary practice guidelines.

To evaluate real-world effectiveness and safety of adjuvant disitamab vedotin plus PD-1 blockade (ADC+ICI) versus gemcitabine/cisplatin (GC) in high-risk upper tract urothelial carcinoma after radical nephroureterectomy.

Upper tract urothelial carcinoma is a rare but aggressive malignancy for which radical nephroureterectomy (RNU) with bladder cuff excision (BCE) remains the standard treatment for high-risk localized disease. While robotic-assisted RNU has gained increasing popularity because of its perioperative advantages, concerns persist regarding the oncologic safety of robotic bladder cuff excision, particularly the potential risk of intravesical recurrence related to tumor seeding or incomplete distal ureter excision.

Treatment of upper tract urothelial carcinoma (UTUC) depends on risk stratification and tumour characteristics. Kidney-sparing surgery (KSS) is preferred for low-risk disease, whereas radical nephroureterectomy (RNU) is the standard for high-risk UTUC.

Background: Upper tract urothelial carcinoma (UTUC) is rare, and contemporary data on real-world healthcare resource utilisation and costs are limited. The objective of this study is to describe long-term healthcare resource utilisation among patients with upper tract urothelial carcinoma (UTUC) and to identify clinical and treatment-related drivers of costs.

Upper tract urothelial carcinoma developing after radical cystectomy presents a technical challenge because complete ureteral removal to the ileal anastomosis is often hindered by postoperative adhesions.

To define the incidence and predictors of metachronous contralateral recurrence in upper tract urothelial carcinoma and develop a risk score for tailored surveillance.

We analyzed 3024 patients surgically treated with curative intent from a multi-institutional registry (ROBUUST 3.