Volume 73, Issue 1, Pages (January 2018)

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Volume 73, Issue 1, Pages 111-122 (January 2018) European Association of Urology Guidelines on Upper Urinary Tract Urothelial Carcinoma: 2017 Update Morgan Rouprêt, Marko Babjuk, Eva Compérat, Richard Zigeuner, Richard J. Sylvester, Maximilian Burger, Nigel C. Cowan, Paolo Gontero, Bas W.G. Van Rhijn, A. Hugh Mostafid, Joan Palou, Shahrokh F. Shariat European Urology Volume 73, Issue 1, Pages 111-122 (January 2018) DOI: 10.1016/j.eururo.2017.07.036 Copyright © 2017 European Association of Urology Terms and Conditions

Fig. 1 Selection of patients with UTUC for hereditary screening during the first medical interview. HNPCC=hereditary nonpolyposis colorectal carcinoma; UTUC=upper urinary tract urothelial carcinoma. European Urology 2018 73, 111-122DOI: (10.1016/j.eururo.2017.07.036) Copyright © 2017 European Association of Urology Terms and Conditions

Fig. 2 Upper urinary tract urothelial carcinoma: prognostic factors. ASA=American Society of Anesthesiologists; BMI=body mass index; ECOG PS=Eastern Cooperative Oncology Group performance status; UTUC=upper urinary tract urothelial carcinoma. European Urology 2018 73, 111-122DOI: (10.1016/j.eururo.2017.07.036) Copyright © 2017 European Association of Urology Terms and Conditions

Fig. 3 Risk stratification of upper urinary tract urothelial carcinoma. CTU=computed tomography urography; URS=ureteroscopy; UTUC=upper urinary tract urothelial carcinoma. a All these factors need to be present. b Any of these factors need to be present. European Urology 2018 73, 111-122DOI: (10.1016/j.eururo.2017.07.036) Copyright © 2017 European Association of Urology Terms and Conditions

Fig. 4 Proposed flowchart for the management of upper urinary tract urothelial cell carcinoma. CTU=computed tomography urography; RNU=radical nephroureterectomy; UTUC = upper urinary tract urothelial carcinoma. a In patients with solitary kidney, consider a more conservative approach. European Urology 2018 73, 111-122DOI: (10.1016/j.eururo.2017.07.036) Copyright © 2017 European Association of Urology Terms and Conditions

Fig. 5 Surgical treatment according to location and risk status. 1 = first treatment option; 2 = secondary treatment option. LND = lymph node dissection; RNU = radical nephroureterectomy; URS = ureteroscopy; UTUC = upper urinary tract urothelial carcinoma. a In case not amendable to endoscopic management. European Urology 2018 73, 111-122DOI: (10.1016/j.eururo.2017.07.036) Copyright © 2017 European Association of Urology Terms and Conditions