Percutaneous Renal Surgery for Renal Pelvic Tumors: Overcoming the Difficulties

Autor: Michael Blute, Arthur D. Smith, Zeph Okeke, Brian Duty, Zhamshid Okhunov
Rok vydání: 2012
Předmět:
Zdroj: Difficult Cases in Endourology ISBN: 9781848820821
DOI: 10.1007/978-1-84882-083-8_11
Popis: Upper tract transitional cell carcinoma accounts for roughly 5 % of all urothelial malignancies. Tumors of the renal collecting system and ureter rarely remain clinically silent. Most patients present with either hematuria and/or flank pain. A variety of diagnostic approaches may be utilized; however, computed tomography urography is currently the most sensitive and specific imaging modality. Urinary cytology continues to be important because of its sensitivity for high-grade lesions. Ureteroscopy has both a diagnostic and therapeutic role. Although ureteroscopic biopsies rarely provide accurate staging, multiple studies have demonstrated the strong correlation between tumor grade and stage.
Databáze: OpenAIRE