Assessing EAU criteria for high-risk upper tract urothelial carcinoma.

ABSTRACT:

Background and objective

Preoperative EAU guideline criteria stratify Upper tract urinary carcinomas (UTUC) into low- and high-risk groups. Depending on this classification, high-risk patients may receive simultaneous lymphadenectomy (LAD) during robot-assisted radical nephroureterectomy (RANU). This study examines the reliability of such stratification, focusing on oncological outcomes.

Methods

In 60 patients with UTUC who underwent RANU, 38 were stratified as low-risk (63%) and 22 as high-risk (37%) based on preoperative EAU guideline criteria. LAD was performed solely in the high-risk group.

Results

In the low-risk group, 19 patients (50%) had non-muscle-invasive (Ta, Tis-T1) disease, 7 (18%) had muscle-invasive, locally confined (T2) disease and 12 (32%) had local

SUBMITTER: Farzat M 

PROVIDER: S-EPMC12605949 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature