[CCAFU Recommendations 2013: Upper urinary tract carcinoma].
BACKGROUND
The objective was to update the guidelines of the French Urological Association Cancer Committee for upper tract urothelial carcinoma (UTUC).


METHODS
A Medline search was performed between 2010 and 2013, as regards diagnosis, options of treatment and follow-up of UTUC, to evaluate different references with levels of evidence.


RESULTS
The diagnosis of this rare pathology is based on CT-scan acquisition during excretion and ureteroscopy with histological biopsies. Total nephro-urectomy remains the gold standard for surgical treatment, nevertheless a conservative endoscopic approach can be proposed : unifocal tumour and diameter < 1 cm and low grade and absence of invasion on CT-scan. Close monitoring with endoscopic follow-up (flexible ureteroscope) in compliant patients is therefore necessary.


CONCLUSIONS
These new guidelines will hopefully contribute not only to improve patient management, but also diagnosis and treatment for UTUC.
C
C
Pfister
M
M
Roupret
Y
Y
Neuzillet
S
S
Larré
G
G
Pignot
H
H
Quintens
N
N
Houedé
E
E
Compérat
P
P
Colin
C
C
Roy
Membres experts du sous-comité vessie.
J-L
JL
Davin
Membres experts du sous-comité vessie.
L
L
Guy
Membres experts du sous-comité vessie.
J
J
Irani
Membres experts du sous-comité vessie.
T
T
Lebret
Membres experts du sous-comité vessie.
P
P
Coloby
M
M
Soulié
D003663:Decision Trees; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis* / Q000628:therapy*; D014516:Ureteral Neoplasms / Q000175:diagnosis* / Q000628:therapy*
Bassinet; Carcinome urothélial haut appareil; Cytologie urinaire; Cytology; Néphrourétérectomie; Radical nephroureterectomy; Renal pelvis; Survie; Survival; Upper tract urothelial carcinoma; Ureter; Ureteroscopy; Uretère; Urétéroscopie