ISSN 2149-3235 | E-ISSN 2149-3057
Case Report
Aggressive treatment for urothelial cancer-complete urinary tract extirpation: Operative feasibility in two cases
1 Department of Urology, Selçuk University School of Medicine, Konya, Turkey  
2 Department of Pathology, Selçuk University School of Medicine, Konya, Turkey  
3 Department of Radiation Oncology, Selçuk University School of Medicine, Konya, Turkey  
4 Department of Medical Oncology, Selçuk University School of Medicine, Konya, Turkey  
Turk J Urol ; : -
DOI: 10.5152/tud.2018.55453
Key Words: Bladder cancer; nephroureterectomy; radical cystectomy; upper urinary tract; urinary tract extirpation; urothelial carcinoma.
Abstract

Bladder cancer (BC), the most common malignancy of the urinary tract, accounts for 90-95% of all urothelial carcinomas (UC), 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 BC (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 multi-staged 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.

 

Cite this article as: Akand M, Kılıç Ö, Harmankaya İ, Karadağlı P, Yavaş Ç, Ata Ö. Aggressive treatment for urothelial cancer-complete urinary tract extirpation: Operative feasibility in two cases. Turk J Urol 2019; DOI: 10.5152/tud.2018.55453

            

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