Upper Tract Transitional Cell Carcinoma

Question 1

How does this present

Answer 1

uncommon cancer but presents with:

Visible haematuria

Question 2

what is UT TCC

Answer 2

Cancer of the ureters

Question 3

Where is TCC more common

Answer 3

In the bladder

Question 4

why is TCC more common in the bladder

Answer 4

• Bladder stores urine therefore the uroepithelium more exposed to the urine therefore undergoes more damage

Question 5

What is the imaging of choice of UTTCC

Answer 5

CT urogram - this works via :
Give patient Constrast - wait and then take CT scanBy that time the contrast will be in the kidney - used for Upper TCC

CT KUB is non constrast used for detecting stones - renal colic

Question 6

How can we biopsy a lesion in the upper tract

Answer 6

Ureteroscopy + biopsy

Question 7

How can small tumors be treated

Answer 7

Laser ablation

Question 8

How are non mets cases for UT TCC generally treated

Answer 8

Laparoscopic nephro-ureterectomy

Question 9

what is nephro-ureterectomy

Answer 9

Removal of kidney, fat, ureter, cuff of bladder