Major advances in the management of all stages of upper tract urothelial carcinoma have been made in 2017. Radical nephroureterectomy can be valuable in patients with metastatic disease and adjuvant platinum-based chemotherapy can improve outcomes in those with advanced disease. Kidney-sparing surgery with early follow-up ureterorenoscopy has shown benefit in patients with low-grade tumours. Avoiding unnecessary ureterorenoscopy might decrease intravesical tumour recurrence.
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Grande, P., Rouprêt, M. Emerging evidence on treating upper tract urothelial cancer. Nat Rev Urol 15, 73–74 (2018). https://doi.org/10.1038/nrurol.2017.203
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DOI: https://doi.org/10.1038/nrurol.2017.203