Endoscopic diagnosis and treatment of upper‐tract urothelial tumors: A preliminary report Conference Paper

Authors: Huffman, J. L.; Bagley, D. H.; Lyon, E. S.; Morse, M. J.; Herr, H. W.; Whitmore, W. F. Jr
Title: Endoscopic diagnosis and treatment of upper‐tract urothelial tumors: A preliminary report
Conference Title: Joint Meeting of the Society of Surgical Oncology and the Society of Head and Neck Surgeons
Abstract: The technique of transurethral ureteropyeloscopy allows many standard cystoscopic procedures to be extended into the upper urinary tract. This endoscopic method was used to evaluate 31 patients suspected to have urothelial malignancies of the ureter or renal pelvis. Twenty‐eight of the patients had the procedure successfully completed (90%), 11 of whom were found to have urothelial tumors. Diagnostic ureteroscopic biopsy in three of these patients revealed high‐grade, multifocal tumors and was followed by nephroureterectomy (two patients) or partial ureterectomy (one patient). However, in eight patients, ureteroscopy and biopsy revealed apparently localized, low‐grade tumors which were treated by ureteroscopic fulguration or resection. The latter patients have undergone endoscopic surveillance every 3 months (average follow‐up, 21 months). The technique of ureteropyeloscopy permits endoscopic access into the ureter and renal pelvis, enabling tissue diagnosis and better preoperative cancer staging without surgical exploration. Although follow‐up is short, selected patients with low‐grade tumors may be treated primarily by endoscopic means. Cancer 55:1422‐1428, 1985. Copyright © 1985 American Cancer Society
Keywords: aged; middle aged; major clinical study; cancer staging; follow-up studies; urogenital tract cancer; biopsy; hematuria; kidney neoplasms; urologic neoplasms; diagnosis; endoscopic surgery; nephroureterectomy; ureteral neoplasms; cystoscopy; papilloma; epithelium; kidney pelvis; therapy; urinary tract; humans; human; male; female; priority journal; ureterectomy
Journal Title Cancer
Volume: 55
Issue: 6
Conference Dates: 1984 May 13-17
Conference Location: New York, NY
ISBN: 0008-543X
Publisher: Wiley Blackwell  
Date Published: 1985-03-15
Start Page: 1422
End Page: 1428
Language: English
DOI: 10.1002/1097-0142(19850315)55:6<1422::Aid-cncr2820550642>3.0.Co;2-f
PUBMED: 3971313
PROVIDER: scopus
Notes: Article -- Export Date: 26 October 2021 -- Source: Scopus
Citation Impact
MSK Authors
  1. Harry W Herr
    560 Herr
  2. Willet F. Whitmore Jr
    123 Whitmore
  3. Michael J. Morse
    37 Morse