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AUA: Upper Tract Urothelial Carcinoma (2023)
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==== Indications ==== * '''<span style="color:#ff0000">Preferred</span>''' **'''<span style="color:#ff0000">Initial management for LR favorable UTUC, when technically feasible</span>''' ***Observational studies suggest similar cancer-specific survival, similar complication rates, and improved renal function outcomes with endoscopic ablation, compared to nephroureterectomy * '''<span style="color:#ff0000">Optional</span>''' **'''<span style="color:#ff0000">Initial management for LR unfavorable UTUC and select patients with HR favorable disease who have low-volume tumors or cannot undergo RNU</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>''' **High risk of ureteric stenosis with instillation of mitomycin containing reverse thermal gel
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