title: [Role of endoscopy in the management of upper urinary tract tumors].
abstract: Transitional cell carcinomas of the upper urinary tract are rare tumours that represent about 5% of all transitional cell carcinomas. The reference treatment is currently open nephroureterectomy. Low-grade or superficial urinary tract tumours have a good prognosis, similar to that of noninvasive bladder tumours (80% 5-year specific survival). The surgical management of upper urinary tract tumours is gradually evolving towards complete preservation of the upper urinary tract and renal parenchyma, when compatible with local conditions. Conservative endoscopic treatments (ureteroscopy, percutaneous treatment) provide good oncological results and constitute a possible alternative to nephroureterectomy for the systematic management of good prognosis tumours. The cost of endoscopy equipment and consumable items is currently a limiting factor to the widespread use of these techniques.
authors.affiliation: Services d'Urologie du GHU Est de l'Assistance-Publique-Hôpitaux de Paris, Hôpital de la Pitié et Hôpital Tenon), Faculté de Médecine Pierre et Marie Curie, Université Paris VI. mroupret@club-internet.fr
authors.forename: Morgan
authors.initials: M
authors.lastname: Roupret
authors.forename: Olivier
authors.initials: O
authors.lastname: Cussenot
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Chartier-Kastler
authors.forename: Philippe
authors.initials: P
authors.lastname: Thibault
authors.forename: François
authors.initials: F
authors.lastname: Richard
authors.forename: Pierre
authors.initials: P
authors.lastname: Conort
authors.forename: Olivier
authors.initials: O
authors.lastname: Traxer
mesh_terms: D002295:Carcinoma, Transitional Cell / Q000175:diagnosis* / Q000601:surgery*; D003663:Decision Trees; D004724:Endoscopy; D006801:Humans; D014571:Urologic Neoplasms / Q000175:diagnosis* / Q000601:surgery*