OBJECTIVES • To report the long-term oncological outcome in patients with transitional cell carcinoma of the ureter electively treated with kidney-sparing surgery. • To compare our data with the few series reported in the literature. PATIENTS AND METHODS • We considered 73 patients with transitional cell carcinoma of the distal ureter treated in five Italian Departments of Urology. • The following surgeries were carried out: 38 reimplantations on psoas hitch bladder (52%), 21 end-to-end anastomoses (28.8%), 11 direct ureterocystoneostomies (15.1%) and three reimplantations on Boari flap bladder (4.1%). • The median follow-up was 87 months. RESULTS • Tumours were pTa in 42.5% of patients, pT1 in 31.5%, pT2 in 17.8% and pT3 in 8.2%. • Recurrence of bladder urothelial carcinoma was found in 10 patients (13.7%) after a median time of 28 months. • The bladder recurrence-free survival at 5 years was 82.2%. • The overall survival at 5 years was 85.3% and the cancer-specific survival rate at 5 years was 94.1%. CONCLUSION • Our data show that segmental ureterectomy procedures do not result in worse cancer control compared with data in the literature regarding nephroureterectomy. © 2012 The Authors.

Elective segmental ureterectomy for transitional cell carcinoma of the ureter: Long-term follow-up in a series of 73 patients / Simonato, Alchiede; Varca, V.; Gregori, A.; Benelli, Augusta; Ennas, M.; Lissiani, A.; Gacci, M.; DE STEFANI, Stefano; Rosso, Monica; Benvenuto, S.; Siena, Giuseppe; Belgrano, E.; Gaboardi, Francesco; Carini, Marina; Bianchi, Giampaolo; Carmignani, G.. - In: BJU INTERNATIONAL. - ISSN 1464-4096. - 110:(2012), pp. E744-E749. [10.1111/j.1464-410X.2012.11554.x]

Elective segmental ureterectomy for transitional cell carcinoma of the ureter: Long-term follow-up in a series of 73 patients

BENELLI, Augusta;DE STEFANI, Stefano;ROSSO, MONICA;SIENA, Giuseppe;GABOARDI, FRANCESCO;CARINI, MARINA;BIANCHI, Giampaolo;
2012

Abstract

OBJECTIVES • To report the long-term oncological outcome in patients with transitional cell carcinoma of the ureter electively treated with kidney-sparing surgery. • To compare our data with the few series reported in the literature. PATIENTS AND METHODS • We considered 73 patients with transitional cell carcinoma of the distal ureter treated in five Italian Departments of Urology. • The following surgeries were carried out: 38 reimplantations on psoas hitch bladder (52%), 21 end-to-end anastomoses (28.8%), 11 direct ureterocystoneostomies (15.1%) and three reimplantations on Boari flap bladder (4.1%). • The median follow-up was 87 months. RESULTS • Tumours were pTa in 42.5% of patients, pT1 in 31.5%, pT2 in 17.8% and pT3 in 8.2%. • Recurrence of bladder urothelial carcinoma was found in 10 patients (13.7%) after a median time of 28 months. • The bladder recurrence-free survival at 5 years was 82.2%. • The overall survival at 5 years was 85.3% and the cancer-specific survival rate at 5 years was 94.1%. CONCLUSION • Our data show that segmental ureterectomy procedures do not result in worse cancer control compared with data in the literature regarding nephroureterectomy. © 2012 The Authors.
110
E744
E749
Elective segmental ureterectomy for transitional cell carcinoma of the ureter: Long-term follow-up in a series of 73 patients / Simonato, Alchiede; Varca, V.; Gregori, A.; Benelli, Augusta; Ennas, M.; Lissiani, A.; Gacci, M.; DE STEFANI, Stefano; Rosso, Monica; Benvenuto, S.; Siena, Giuseppe; Belgrano, E.; Gaboardi, Francesco; Carini, Marina; Bianchi, Giampaolo; Carmignani, G.. - In: BJU INTERNATIONAL. - ISSN 1464-4096. - 110:(2012), pp. E744-E749. [10.1111/j.1464-410X.2012.11554.x]
Simonato, Alchiede; Varca, V.; Gregori, A.; Benelli, Augusta; Ennas, M.; Lissiani, A.; Gacci, M.; DE STEFANI, Stefano; Rosso, Monica; Benvenuto, S.; Siena, Giuseppe; Belgrano, E.; Gaboardi, Francesco; Carini, Marina; Bianchi, Giampaolo; Carmignani, G.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/1108335
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