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- Title
Aggressive treatment for urothelial cancer--complete urinary tract extirpation: Operative feasibility in two cases.
- Authors
Akand, Murat; Kılıç, Özcan; Harmankaya, İsmail; Karabağlı, Pınar; Yavaş, Çağdaş; Ata, Özlem
- Abstract
Bladder cancer (BC), the most common malignancy of the urinary tract, accounts for 90-95% of all urothelial carcinomas (UCs), while upper urinary tract UC (UUTUC) accounts for only 5-10%. Radical nephroureterectomy with excision of bladder cuff, and radical cystectomy with pelvic lymph node dissection and a urinary diversion (UD) are the gold standard treatments for UUTUC and muscle-invasive bladder cancer (MIBC), respectively. These two treatments can be performed simultaneously when a bilateral or unilateral UUTUC is present with a MIBC, and are called complete urinary tract extirpation (CUTE) and hemi-CUTE, respectively. This complex surgery can help the patient by avoiding multistaged surgeries, repeated anesthesia, and delay in completion of treatment. Herein, we report the first cases of a hemi-CUTE and CUTE in our department and share our experience with this aggressive and complex surgical treatment.
- Subjects
PELVIC surgery; URINARY organ surgery; BLADDER tumors; CANCER invasiveness; SURGICAL excision; LYMPH node surgery; URETHRA surgery; URINARY diversion; NEPHRECTOMY; CYSTECTOMY
- Publication
Turkish Journal of Urology, 2019, Vol 45, Issue 5, p393
- ISSN
1300-5804
- Publication type
Article
- DOI
10.5152/tud.2018.55453