Although patients with bladder cancer are at increased risk of developing upper tract urothelial carcinoma (UTUC), the overall incidence remains low. Serial CT urography is routinely performed in these patients to rule out UTUC, but its clinical value and cost-effectiveness are questionable, especially in patients with non-muscle-invasive disease.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Margulis, V. et al. Outcomes of radical nephroureterectomy: a series from the Upper Tract Urothelial Carcinoma Collaboration. Cancer 115, 1224–1233 (2009).
Remzi, M. et al. Upper urinary tract urothelial carcinoma: what have we learned in the last 4 years? Ther. Adv. Urol. 3, 69–80 (2011).
Sternberg, I. A. et al. Upper tract imaging surveillance is not effective in diagnosing upper tract recurrences in patients followed for non-muscle-invasive bladder cancer. J. Urol. http://dx.doi.org/10.1016/j.juro.2013.05.020.
Divrik, R. T. et al. The frequency of hydronephrosis at initial diagnosis and its effect on recurrence and progression in patients with superficial bladder cancer. J. Urol. 178, 802–806 (2007).
Brien, J. C. et al. Preoperative hydronephrosis, ureteroscopic biopsy grade and urinary cytology can improve prediction of advanced upper tract urothelial carcinoma. J. Urol. 184, 69–73 (2010).
Ng, C. K. et al. Does the presence of hydronephrosis on preoperative axial CT imaging predict worse outcomes for patients undergoing nephroureterectomy for upper-tract urothelial carcinoma? Urol. Oncol. 29, 27–32 (2011).
Millán-Rodríguez, F. et al. Upper urinary tract tumours after primary superficial bladder tumours: prognostic factors and risk groups. J. Urol. 164, 1183–1187 (2000).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing financial interests.
Rights and permissions
About this article
Cite this article
Remzi, M., Shariat, S. Is contrast-enhanced CT necessary for following up NMIBC?. Nat Rev Urol 10, 500–501 (2013). https://doi.org/10.1038/nrurol.2013.170
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrurol.2013.170