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Genitourinary Cancers • Medical Oncology
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?
Answer from: Medical Oncologist at Academic Institution
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, comorbi...
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