What would you recommend for pTa, stage 0a papillary urothelial carcinoma of the distal ureter?
Could observation and serial cystoscopy be a reasonable option or is surgery necessary? If recommending surgery, can a procedure less than a nephroureterectomy suffice?
1 Answer
Mednet MemberInvited Expert
Medical Oncology · Washington University School of Medicine
Answered on
I think a lot would rest on the grade (and presumably upper tract imaging was otherwise negative) – if low grade could do endoscopic resection and monitor, if high grade could consider neoadjuvant therapy with ureterectomy vs nephroureterectomy. …also depending on age, comorbities, etc.
Join for free or sign in to see the full answer