An audit of nephroureterectomy for upper tract urothelial carcinoma.

摘要: Abstract Background The boundary of nephroureterctomy has been revisited and lymph node dissection recommended recently. We investigated the role synchronous ipsilateral adrenalectomy in treating patients with upper tract urothelial carcinoma. Methods 110 clinically localized carcinoma treated by nephroureterectomy bladder cuff resection were retrospectively evaluated. 70 underwent without concomitant adrenalectomy, whereas was performed other 40 patients. Cancer specific, metastasis local recurrence free survival during a follow-up median 46 months analyzed. Results No patient had adrenal among adrenalectomized A total 4 developed recurrences; including 1 adrenalectomy-sparing 3 ( p  = 0.102, chi-square test). Five four distant metastases  = 0.212, five-year  = 0.09, log-rank test), metastasis-free  = 0.292, cancer-specific  = 0.117, test) did not have significant difference between both groups. Conclusions This is only study recent 2 decades to evaluate necessity Adrenal-sparing seems justified for