Tumors of the upper urinary tract: 10 years of experience
| Autor: | Laurent Charbit, Marie-Christine Gendreau, Jacob Cukier, Sharon Mee |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Adult
Male medicine.medical_specialty Urology Urinary system medicine.medical_treatment Kidney Calices Ureter medicine Humans Kidney Pelvis Ureteral neoplasm Upper urinary tract Aged Neoplasm Staging Retrospective Studies Aged 80 and over Bladder cancer business.industry Ureteral Neoplasms Middle Aged medicine.disease Nephrectomy Kidney Neoplasms Surgery Survival Rate medicine.anatomical_structure Transitional cell carcinoma Urinary Bladder Neoplasms Lymphadenectomy Female business Follow-Up Studies |
| Zdroj: | The Journal of urology. 146(5) |
| ISSN: | 0022-5347 |
| Popis: | We reviewed 108 patients with upper urinary tract tumors who underwent surgical treatment during a 10-year period (87 men and 21 women with a mean age of 63.5 years). Of the tumors 97% were unilateral and only 3 patients had bilateral tumors. Two-thirds of the patients had a single tumor focus and a third had 2 or more tumor foci. Additionally, there were 31 patients (28.7%) with previous and/or simultaneous bladder tumors. Nephroureterectomy was performed in 92 cases, nephrectomy in 6 and a conservative operation in 13. In 65 cases lymphadenectomy was added. The survival rates at 5 and 10 years were 67 and 65%, respectively. Of the patients 90% with cancer-related deaths had high grade tumors. Of the 15 patients with positive lymph nodes 87% died of metastasis compared to 8% of the 50 patients with negative lymph nodes. Nine patients (8.7%) had relapse in the upper urinary tract, 6 (5.8%) in the ipsilateral ureter and 3 (2.9%) in the contralateral ureter. Of these 3 patients 2 had recurrent multifocal bladder tumors. For patients who present with an upper urinary tract tumor the risk of a bladder cancer was approximately 9% and that of a contralateral urothelial tumor was 1%. |
| Databáze: | OpenAIRE |
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