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AUA: Upper Tract Urothelial Carcinoma (2023)
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=== UrologySchool.com Summary === * '''<span style="color:#ff0000">If low-risk</span>''' ** '''<span style="color:#ff0000">Favorable</span>''' *** '''<span style="color:#ff0000">Tumor ablation (preferred)</span>''' ** '''<span style="color:#ff0000">Unfavorable</span>''' *** '''<span style="color:#ff0000">Tumor ablation (optional)</span>''' *** '''<span style="color:#ff0000">Surgical removal (radical nephroureterectomy or segmental ureterectomy)</span>''' ** '''<span style="color:#ff0000">If low-risk and complete endoscopic ablation not feasible, chemoablation (in-situ tissue destruction) with mitomycin containing reverse thermal gel can be a treatment alternative</span>''' * '''<span style="color:#ff0000">If high-risk</span>''' ** '''<span style="color:#ff0000">Favorable</span>''' *** '''<span style="color:#ff0000">Surgical removal</span>''' *** '''<span style="color:#ff0000">Tumor ablation (optional)</span>''' **** '''<span style="color:#ff0000">Select patients who have low-volume tumors or cannot undergo RNU</span>''' ** '''<span style="color:#ff0000">Unfavorable</span>''' *** '''<span style="color:#ff0000">Surgical removal</span>''' **'''<span style="color:#ff0000">For surgically eligible patients with HR and unfavorable LR cancers endoscopically confirmed as confined to the lower ureter in a functional renal unit, distal ureterectomy with ureteral reimplant is the preferred treatment</span>'''
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