PERCUTANEOUS TREATMENT OF UPPER URINARY TRACT UROTHELIAL CARCINOMA

This paper aims to assess the results of percutaneous endoscopic treatment of patients with upper urinary tract urothelial carcinoma. 99 patients with upper urinary tract urothelial carcinoma were enrolled in the study. 24 patients underwent endoscopic treatment in a urological clinic at I.M. Sechenov FMSMU. 21 patients underwent retrograde surgery for tumor of the renal pelvis and ureter of low malignant potential. In 1 patient with a solitary kidney a percutaneous removal of a renal pelvis papillary tumor was performed, in another one the same procedure was performed for a solitary functioning kidney. In one patient, a percutaneous removal of a papillary tumor of the calyx of the lower part of the L-shaped kidney was carried out. Routine postoperative check-ups showed no recurrence in all patients. As well as that adequate urine flow was observed in all patients.Percutaneous treatment of upper urinary tract urothelial carcinoma can be applied in patients with low-grade tumors of calices, when a standard flexible ureteroscopy doesn’t allow to reach the tumor or in cases of big lesions or a surgical procedure in a retrograde fashion is not feasible. Apparently percutaneous procedure is effective for single ≤ 2 cm lesions located in pyelocaliceal system.

опухоли уротелия, перкутанное удаление опухолей верхних мочевых путей, эндоскопическое лече- ние опухолей верхних мочевых путей, уретерореноскопия при уротелиальном раке верхних мочевых путей, urothelial tumors, percutaneous treatment of upper urinary tract tumors, endoscopic treatment of upper urinary tract tumors, ureterorenosopy in case of upper urinary tract urothelial carcinoma

1. European guidelines on upper tract urothelial carcinomas: 2013 update / M Roupret [et al.] // Eur Urol. - 2013. - Vol. 63. - P. 1059-1071

2. Smith A.K., Matin S.F., Jarrett T.W. Wein: Campbell-Walsh Urology, 11th ed., Chapter 58/Urothelial Tumors of the Upper Urinary Tract and Ureter. Elsevier 2013

3. Мартов, А.Г. Папиллярные опухоли лоханки и мочеточника: что современная эндоурология может предложить пациенту и врачу? / А.Г. Мартов, Д.В. Ергаков // Материалы XVI Конгресса Российского общества урологов (20-22 октября 2016). - Уфа, 2016. - С. 193-194

4. Эндоскопическое удаление папиллярных опухолей верхних мочевыводящих путей / Г.Н. Акопян [и др.] // Урология. - 2016. - № 6. - С. 100-106

5. The Expanded Use of Percutaneous Resection for Upper Tract Urothelial Carcinoma: A 30-Year Comprehensive Experience / P. Motamedinia [et al.] // J Endourology. - 2016. - Vol. 30, №3. - P. 262-267

6. Arthur D. Smith, Glenn Preminger, Gopal Badlani, Louis R. Kavoussi. Smith's Textbook of Endourology, 3rd Edition, 2012

7. Transitional-cell carcinoma of the renal pelvis: ureteroscopic and percutaneous approach / E.N. Liatsikos [et al.] // Journal of Endourology. - 2001. - Vol. 15, no. 4. - P. 377-383

8. Percutaneous nephroscopic management of upper urinary tract transitional cell carcinoma: recurrence and long-term followup / J. Palou[et al.] // The Journal of Urology. - 2004. - Vol. 172, no. 1. - P. 66-69

9. Checkup and management of upper urinary tract tumours in 2010: An update from the committee of cancer from the French National Association of Urology / M. Roupret [et al.] // Prog Urol. - 2010. - Vol. 20(4). - P. 260-271