Adjuvant treatment for renal pelvis and urothelial carcinoma of the ureter

Question 1

What adjuvant treatment will you give pT0, pT1 tumors?

Answer 1

NONE

Question 2

How will you follow up?

Answer 2

CYSTOSCOPY AND CYTOLOGY FOR HIGH GRADE TUMORS Q3 MONTHS OFR 1 YEAR THEN AT LONGER INTERVALS

IF NEPHRON SPARING SURGERY, IMAGING OF THE UPPER TRACT COLLECTING SYSTEMS OR URETEROSCOPY AT 3-12 MONTH INTERVALS, WITH OR WITHOUT ABDOMINOPELVIC CT OR MRI WITH OR WITHOUT CONTRAST

Question 3

For pT2 and up and node positive patients, will you give adjuvant chemo?

Answer 3

ADJUVANT CHEMO

Question 4

How will you follow up?

Answer 4

CYSTOSCOPY AND CYTOLOGY Q3MOS FOR 1 YEAR
THEN AT LONGER INTERVALS

IF NEPHRON SPARING SURGERY:

• IMAGING OF THE UPPER TRACT COLLECTING SYSTEM
• URS Q3 TO 12 MOS INTERVAL
• ABDOMINOPELVIC CT OR MIR WITH AND WITHOUT CONTRAST
• CHEST IMAGING