Document Detail


Recurrent urothelial tumors following surgery for transitional cell carcinoma of the upper urinary tract.
MedLine Citation:
PMID:  991130     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A retrospective analysis of 74 cases of transitional cell carcinoma of the renal pelvis and ureter treated at this institution over the past 30 years is presented. When nephrectomy alone or incomplete nephroureterectomy was performed, subsequent transitional cell carcinoma developed in 30% of the ureteral stumps. Subsequent bladder carcinoma occurred in 25% of the patients with primary upper urinary tract carcinoma. The type of initial surgery performed did not appear to influence this incidence of subsequent bladder tumors. Contralateral upper urinary tract carcinoma developed in only one patient. When nephroureterectomy is performed for carcinoma of the renal pelvis and ureter, a cuff of bladder that includes the ureteral orifice should be removed to obviate recurrent disease in the ureteral stump. Since single-incision nephroureterectomy did not include the intramural ureter in 50% of the cases in which it was performed, a second incision may be required for adequate exposure.
Authors:
D W Strong; H D Pearse
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cancer     Volume:  38     ISSN:  0008-543X     ISO Abbreviation:  Cancer     Publication Date:  1976 Nov 
Date Detail:
Created Date:  1977-01-25     Completed Date:  1977-01-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0374236     Medline TA:  Cancer     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2173-83     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Carcinoma, Transitional Cell / surgery*
Female
Humans
Kidney Neoplasms / diagnosis,  pathology,  surgery*
Kidney Pelvis* / pathology,  surgery
Male
Middle Aged
Neoplasm Recurrence, Local*
Nephrectomy
Retrospective Studies
Ureteral Neoplasms / diagnosis,  pathology,  surgery*
Urinary Bladder Neoplasms / diagnosis,  etiology,  pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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