Rak moczowodu
Charakterystyka, pielęgnacja i opieka

Rak moczowodu jest rzadkim nowotworem urotelialnym, rozwijającym się głównie w komórkach przejściowych wyściełających moczowody, z częstością występowania zwiększoną u pacjentów z historią raka pęcherza moczowego. Najczęstszym objawem jest krwiomocz, zarówno makroskopowy, jak i mikroskopowy, a diagnostyka opiera się na zaawansowanych technikach obrazowania oraz cyfrowej ureteroskopii wykonywanej w znieczuleniu. Leczenie jest zindywidualizowane i obejmuje głównie chirurgię – nefroureterektomię radykalną, segmentalną resekcję moczowodu, chirurgię endoskopową, elektrochirurgię lub laseroterapię – w zależności od lokalizacji, rozmiaru i stopnia zaawansowania guza. W przypadku rozsianej choroby stosuje się chemioterapię, immunoterapię, terapię celowaną oraz radioterapię, z uwzględnieniem potencjalnych działań niepożądanych, takich jak mielosupresja, neuropatia obwodowa czy zapalenie mięśnia sercowego.

Wprowadzenie do raka moczowodu

Rak moczowodu (ang. ureteral cancer) jest stosunkowo rzadkim nowotworem, który rozwija się w moczowodach – rurkach łączących nerki z pęcherzem moczowym. Najczęściej występuje u osób starszych oraz u pacjentów wcześniej leczonych z powodu raka pęcherza moczowego. Nowotwór ten zwykle rozwija się w komórkach przejściowych wyścielających wewnętrzne ściany moczowodów.12

Częstość występowania raka moczowodu jest relatywnie niska, jednak warto zauważyć, że około 20-25% pacjentów z rakiem pęcherza moczowego rozwinie raka górnego odcinka dróg moczowych, w tym raka moczowodu. Z kolei osoby z rozpoznanym rakiem moczowodu mają zwiększone ryzyko (około 50%) rozwoju raka pęcherza moczowego.34

Objawy i diagnoza

Najczęstszym objawem raka moczowodu jest krwiomocz (krew w moczu), który może być widoczny gołym okiem (krwiomocz makroskopowy) lub wykrywalny tylko w badaniach laboratoryjnych (krwiomocz mikroskopowy). Do innych objawów mogą należeć:56

  • Ból pleców lub boku, który nie ustępuje
  • Zmęczenie
  • Bolesne lub częste oddawanie moczu
  • Utrata wagi

Dokładna i wczesna diagnoza raka moczowodu jest kluczowa dla skutecznego leczenia. Zaawansowane badania wykonywane przez doświadczonych urologów i uroradiologów są niezbędne do postawienia prawidłowego rozpoznania. Diagnostyka obejmuje najnowocześniejsze techniki obrazowania oraz cyfrową ureteroskopię.7

Ureteroskopia cyfrowa

Ureteroskopia cyfrowa jest wykonywana na sali operacyjnej w znieczuleniu. Urolog wprowadza długą, cienką, elastyczną rurkę z małą kamerą wideo do cewki moczowej, a następnie przez pęcherz moczowy do moczowodów i miedniczki nerkowej. Pozwala to urologowi na obejrzenie wyściółki moczowodów, identyfikację guzów i pobranie próbek tkanek do badań.8

Leczenie raka moczowodu

Leczenie raka moczowodu jest zindywidualizowane i zależy od wielu czynników, w tym od rozmiaru i lokalizacji nowotworu, stopnia agresywności komórek nowotworowych oraz preferencji pacjenta. Głównym celem leczenia jest całkowite usunięcie nowotworu przy jednoczesnym zachowaniu funkcji układu moczowego.910

Leczenie chirurgiczne

Chirurgia jest podstawową metodą leczenia raka moczowodu, zwłaszcza w przypadkach, gdy nowotwór jest ograniczony do moczowodu. Rodzaj zabiegu chirurgicznego zależy od stopnia zaawansowania raka:1112

  • Nefroureterektomia radykalna – najczęściej wykonywany zabieg w przypadku raka moczowodu. Chirurg usuwa całą nerkę, cały moczowód i fragment pęcherza moczowego, do którego moczowód się przyłącza (tzw. mankiet pęcherza).1314
  • Segmentalna resekcja moczowodu – zwykle wykonywana w celu usunięcia małych guzów w dolnej części moczowodu, najbliżej pęcherza moczowego. Chirurg usuwa część moczowodu z guzem wraz z marginesem zdrowej tkanki powyżej guza. Następnie moczowód jest ponownie przyłączany do pęcherza moczowego.15
  • Chirurgia endoskopowa – chirurg usuwa guz za pomocą endoskopu i narzędzi tnących wprowadzonych przez endoskop. Może być stosowana w przypadku raka moczowodu o niskim stopniu złośliwości i we wczesnym stadium.1617
  • Elektrochirurgia – proces, w którym prąd elektryczny jest używany do usuwania dotkniętych komórek.18
  • Chirurgia laserowa – jeśli rak jest wykryty we wczesnym stadium lub pojawia się tylko na powierzchni moczowodu, można użyć wiązki światła laserowego, aby zniszczyć guz.19

Chirurgia raka moczowodu może powodować następujące skutki uboczne: ból, krwawienie, infekcję, nagłą potrzebę oddawania moczu, częstsze oddawanie moczu, krwawienie podczas oddawania moczu, zwężenie moczowodów (zwężenie), zablokowanie moczowodów (niedrożność).20

Chemioterapia

Chemioterapia wykorzystuje leki przeciwnowotworowe (cytotoksyczne) do niszczenia komórek nowotworowych. Może być stosowana przed operacją (chemioterapia neoadjuwantowa) lub po operacji (chemioterapia adjuwantowa) w leczeniu raka moczowodu, który rozprzestrzenił się do węzłów chłonnych lub innych części ciała.2122

Niektóre typowe skutki uboczne chemioterapii w przypadku raka moczowodu to:23

  • Nudności i wymioty
  • Utrata apetytu
  • Zmęczenie
  • Infekcje
  • Wypadanie włosów
  • Biegunka
  • Ból i zapalenie jamy ustnej i gardła
  • Uszkodzenie nerwów (neuropatia obwodowa), które może powodować ból, pieczenie lub mrowienie w dłoniach i stopach

Immunoterapia

Immunoterapia pomaga wzmocnić lub przywrócić zdolność układu odpornościowego do odnajdywania i niszczenia komórek nowotworowych. Może być stosowana w leczeniu zaawansowanego lub przerzutowego raka urotelialnego, gdy chemioterapia nie działa.2425

Inhibitory punktów kontrolnych układu immunologicznego mogą powodować następujące skutki uboczne:26

  • Zmęczenie
  • Biegunka
  • Problemy skórne, takie jak wysypka i świąd
  • Nudności i wymioty
  • Utrata apetytu
  • Niski poziom komórek krwi (mielosupresja)
  • Problemy płucne, takie jak kaszel i trudności w oddychaniu
  • Problemy z sercem, takie jak zapalenie mięśnia sercowego (zapalenie mięśnia sercowego)

Terapia celowana

Terapia celowana w leczeniu nowotworów to leczenie, które wykorzystuje leki atakujące określone substancje chemiczne w komórkach nowotworowych. Blokując te substancje chemiczne, terapie celowane mogą powodować śmierć komórek nowotworowych. Komórki nowotworowe pacjenta mogą być badane w celu sprawdzenia, czy terapia celowana prawdopodobnie będzie skuteczna.27

Radioterapia

Radioterapia wykorzystuje promienie lub cząstki o wysokiej energii do niszczenia komórek nowotworowych. Podczas radioterapii zewnętrznej maszyna kieruje promieniowanie przez skórę do obszaru z nowotworem i części otaczających tkanek.28

Niektóre typowe skutki uboczne radioterapii w przypadku raka moczowodu to:29

  • Podrażniony lub zapalony pęcherz moczowy, który może powodować częstsze niż zwykle oddawanie moczu lub krew w moczu
  • Zmęczenie
  • Problemy skórne
  • Biegunka
  • Krwawienie z odbytnicy
  • Utrata kontroli nad pęcherzem moczowym (nietrzymanie moczu)

Opieka nad pacjentem z rakiem moczowodu

Kompleksowa opieka nad pacjentem z rakiem moczowodu wymaga zaangażowania multidyscyplinarnego zespołu specjalistów, w tym urologów, onkologów, radiologów, patologów, pielęgniarek i specjalistów wsparcia pacjenta.3031

Opieka pielęgniarska

Pielęgniarki onkologiczne i pielęgniarki-koordynatorki (navigators) odgrywają kluczową rolę w opiece nad pacjentem z rakiem moczowodu. Posiadają one rozległą wiedzę kliniczną w zakresie opieki onkologicznej, aby pomóc pacjentom i ich opiekunom w podejmowaniu świadomych decyzji i zapewnieniu optymalnej opieki.32

Zakres opieki pielęgniarskiej obejmuje:3334

  • Edukację pacjenta na temat choroby i dostępnych opcji leczenia
  • Monitorowanie stanu pacjenta i zarządzanie objawami
  • Zapewnienie wsparcia emocjonalnego
  • Koordynację opieki między różnymi specjalistami
  • Pomoc w radzeniu sobie ze skutkami ubocznymi leczenia
  • Wsparcie w okresie rekonwalescencji po leczeniu

Opieka psychospołeczna

Pacjenci z rakiem moczowodu mogą doświadczać różnych wyzwań psychospołecznych, w tym lęku, depresji, zmian w obrazie ciała i zaburzeń funkcji seksualnych. Kompleksowa opieka obejmuje wsparcie psychospołeczne, które może być zapewniane przez:35

  • Pracowników socjalnych specjalizujących się w onkologii, którzy mogą pomagać w doradztwie, łączyć z zasobami społecznymi i medycznymi, wspierać w transporcie i zakwaterowaniu oraz koordynować opiekę po wypisie
  • Psychologów i psychiatrów specjalizujących się w zdrowiu emocjonalnym, w tym poradnictwie indywidualnym i rodzinnym, aby pomóc w radzeniu sobie z emocjonalnymi wyzwaniami związanymi z rakiem
  • Grupy wsparcia dla pacjentów z rakiem, które mogą pomóc pacjentom nie czuć się samotnym i dzielić się doświadczeniami z innymi

Opieka żywieniowa

Zarejestrowane dietetyczki oferują indywidualne wsparcie żywieniowe dla pacjentów, których wysiłki mające na celu optymalizację żywienia mogą być zakłócone przez objawy raka lub skutki uboczne leczenia.36

Rehabilitacja i terapia zajęciowa

Usługi rehabilitacji fizycznej i terapii zajęciowej, w tym opieka nad ranami, terapia głosu i terapia połykania, terapia obrzęku limfatycznego, rehabilitacja równowagi i narządu przedsionkowego, joga i inne, mogą być pomocne w powrocie do zdrowia po leczeniu raka moczowodu.37

Opieka paliatywna

Opieka paliatywna zapewnia dodatkową warstwę opieki wspomagającej, aby zarządzać bólem i łagodzić objawy, oferować wsparcie emocjonalne i duchowe oraz poprawiać jakość życia pacjenta.38

Opieka duchowa

Bezwyznaniowa opieka duchowa oferowana przez kapelanów może pomóc w koordynacji opieki duchowej z własnym duchownym, rabinem lub doradcą duchowym pacjenta.39

Obserwacja po leczeniu

Po zakończeniu leczenia zespół medyczny utworzy harmonogram badań kontrolnych. Podczas tych badań zespół sprawdza, czy nie ma oznak nawrotu raka. Zespół szuka również oznak raka pęcherza moczowego, ponieważ osoby z rozpoznanym rakiem moczowodu mają zwiększone ryzyko raka pęcherza moczowego.4041

Regularne wizyty kontrolne są szczególnie ważne w pierwszych 2-3 latach po zakończeniu leczenia. Wizyty te pozwalają zespołowi medycznemu monitorować postępy i powrót do zdrowia po leczeniu.4243

Problemy związane z niedrożnością moczowodu

Złośliwa niedrożność moczowodu (MUO) jest częstym powikłaniem zaawansowanych nowotworów złośliwych. U pacjentów z MUO istnieją czynniki, które utrudniają postępowanie, takie jak złe rokowanie, chorobowość związana z odprowadzeniem moczu, dylematy etyczne związane z odprowadzeniem moczu w tym scenariuszu oraz stan immunosupresji wielu pacjentów.44

Leczenie uropatii zaporowej zależy od etiologii, od opcji paliatywnych do leczniczych. Złośliwa niedrożność moczowodu jest leczona za pomocą stentowania moczowodu lub przezskórnej nefrostomii (PCN), w zależności od wymagań stanu pacjenta. Odprowadzenie moczu jest często dożywotnim rozwiązaniem u tych pacjentów.45

Klinicyści zaangażowani w leczenie pacjentów z rakiem, tacy jak urolodzy i onkolodzy, często stają przed dylematem, czy wskazane jest odprowadzenie moczu u pacjentów z rakiem z uropatią zaporową. Najczęstszym wskazaniem do odprowadzenia moczu jest ostre uszkodzenie nerek (53,3%). Powrót czynności nerek obserwuje się u 55,8% pacjentów po odprowadzeniu moczu.46

Mediana całkowitego przeżycia (OS) od diagnozy wodonercza wynosiła 6,43 miesiąca (IQR, 1,91-14,81 miesiąca) w serii 188 pacjentów z rakiem. Mediana przeżycia po odprowadzeniu moczu wynosiła 8,67 miesiąca (IQR, 2,99-17,28 miesiąca) dla 48 z 188 pacjentów, którzy przeszli tę procedurę.47

Badania kliniczne i innowacyjne terapie

Dla odpowiednich pacjentów dostępnych jest kilka eksperymentalnych terapii raka moczowodu. Te ściśle kontrolowane badania kliniczne koncentrują się na znalezieniu nowych sposobów zapobiegania nawrotom raka po operacji i spowolnienia progresji zaawansowanej choroby.48

Wiele ośrodków medycznych ma doświadczenie w prowadzeniu badań klinicznych. Badania kliniczne to badania naukowe, które testują najnowsze metody leczenia raka i nowe sposoby wykorzystania istniejących metod leczenia raka.49

Niektóre ośrodki mają szczególnie silne programy badań klinicznych fazy I, czyli najwcześniejszej fazy oceny nowej terapii u pacjentów. Dla nowotworów urologicznych oceniane są nowatorskie środki biologiczne, a także opcje immunoterapii, które zmieniają pole leczenia.50

Rokowanie

Rokowanie w raku moczowodu zależy od lokalizacji guza i tego, czy rak się rozprzestrzenił. Rak, który jest tylko w nerce lub moczowodzie, może być wyleczony operacyjnie. Rak, który rozprzestrzenił się na inne narządy, zwykle nie jest uleczalny.5152

Ogólnie rzecz biorąc, im wcześniej rak moczowodu zostanie zdiagnozowany i leczony, tym lepsze są wyniki leczenia. Nowotwory o niskim stopniu złośliwości, które zwykle nie wrastają w warstwę mięśniową ściany miedniczki nerkowej lub moczowodu i nie rozprzestrzeniają się na inne części ciała, mają zwykle dobre rokowanie.53

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  1. 12.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Ureteral cancer – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/ureteral-cancer/symptoms-causes/syc-20360721
    Ureteral cancer is a growth of cells that starts in the ureters. The ureters are tubes that connect the kidneys to the bladder. The ureters are part of the urinary tract. They carry urine produced by the kidneys to the bladder. […] Treatment for ureteral cancer typically involves surgery. In certain situations, chemotherapy, immunotherapy or targeted therapy may be recommended. […] Ureteral cancer care at Mayo Clinic.
  • #2 Ureteral Cancer – Ureteral Cancer Specialists – Urology Austin
    https://urologyaustin.com/general-urology/ureteral-cancer/
    Ureteral cancer is a relatively uncommon form of cancer that typically develops in transitional cells that line the inside walls of the ureters. […] Because transitional cells also line the inside of the bladder, persons diagnosed with ureteral cancer have a higher risk (50% chance) of developing bladder cancer. […] The development of this form of cancer may be influenced by the following: Smoking tobacco is the most prevalent risk factor for ureteral and bladder cancer. […] The risk of being diagnosed with this cancer increases with age. […] Ureteral cancer is more common in older men. […] Persons who have been diagnosed with bladder or kidney cancer have a higher risk of developing ureteral cancer (5-7% increased risk). […] As ureteral cancer grows, the mass of cells can disrupt the normal flow of urine, triggering various urinary symptoms.
  • #3 Ureteral Cancer and Ureteral Urothelial Carcinoma | Saint John’s Cancer Institute – Santa Monica, CA
    https://www.saintjohnscancer.org/urology/conditions/ureteral-cancer/
    Upper tract urothelial carcinoma is a cancer that can occur anywhere from the inner linings of the kidney, down the ureter, in the bladder, and down the urethra. […] Ureteral cancer is uncommon and occurs mostly in older adults and in those who previously treated for bladder cancer. […] 20-25% of patients with carcinoma in the bladder will develop upper tract urothelial carcinoma. […] There are two types of treatment for upper tract urothelial carcinomas: […] Nephron sparing treatment, or conservative management treatment, means preservation of the entire kidney, or part of the kidney, while reducing the adverse effects to kidney function. […] A drug known as mitomycin-c has been effective for the treatment of urothelial cancers in the bladder and performing washes (instillations), which is placing the material into the bladder and having the patient hold it in for a short period of time before urinating.
  • #4 Ureteral Cancer – Ureteral Cancer Specialists – Urology Austin
    https://urologyaustin.com/general-urology/ureteral-cancer/
    Ureteral cancer is a relatively uncommon form of cancer that typically develops in transitional cells that line the inside walls of the ureters. […] Because transitional cells also line the inside of the bladder, persons diagnosed with ureteral cancer have a higher risk (50% chance) of developing bladder cancer. […] The development of this form of cancer may be influenced by the following: Smoking tobacco is the most prevalent risk factor for ureteral and bladder cancer. […] The risk of being diagnosed with this cancer increases with age. […] Ureteral cancer is more common in older men. […] Persons who have been diagnosed with bladder or kidney cancer have a higher risk of developing ureteral cancer (5-7% increased risk). […] As ureteral cancer grows, the mass of cells can disrupt the normal flow of urine, triggering various urinary symptoms.
  • #5 Renal Pelvis / Ureteral Cancer | The Urology Group of Virginia
    https://www.urologygroupvirginia.com/urologic-cancer-center/kidney-cancer/renal-pelvis-ureteral-cancer
    Blood in the urine (hematuria), either microscopic or seen with the naked eye (gross hematuria), is the most common symptom. […] If transitional cell carcinoma is diagnosed in the collecting system, surgery is often indicated. This may involve removal of the affected kidney, ureter and small portion of the bladder. […] Follow up will be necessary for years to make sure cancer does not appear in transitional cells in the rest of the urinary system.
  • #6 Ureter Cancer | Cancer | Loyola Medicine
    https://www.loyolamedicine.org/services/cancer/cancer-conditions/ureter-cancer
    Ureter cancer, also referred to as urinary tract cancer, is a rare form of cancer that is treated by the highly skilled doctors at Loyola Medicine. Loyola is widely recognized as one of the top urology programs nationwide and is known for diagnosing and treating a broad spectrum of diseases such as ureter cancer. […] Ureter cancer develops in the ureter, which is a muscular tube that propels urine from the kidneys and out of the body through the urethra. Ureter cancer is also known as ureteral cancer and renal pelvic cancer. […] Doctors at Loyola approach the diagnosis of ureter cancer with great compassion and care. A patients medical history and the following physical symptoms could indicate the presence of ureter cancer: Back or side pain that doesn’t go away, Fatigue, Hematuria (blood in the urine), Painful or frequent urination, Weight loss.
  • #7 Ureter Cancer Treatment in NJ | Hackensack Meridian Health Urology
    https://www.hackensackmeridianhealth.org/en/services/urology/ureter-cancer
    Cancer of the ureter is rare and occurs in the tubes that carry urine from the kidneys to the bladder and can also be found in the renal pelvis, the area where urine collects and is funneled into the kidney. […] Because ureter cancer is rare, you need urology experts who are experienced in treating this type of cancer. […] No one has more experience in New Jersey than Hackensack Meridian Health in performing robotic surgery for cancer of the ureter. We specialize in treatment that is minimally invasive and preserves your ureter, your kidney and your quality of life. […] Advanced testing by experienced urologists and uroradiologists is essential for a diagnosis of ureter or renal pelvis cancer. We use the latest imaging and digital ureteroscopy to make an accurate diagnosis. […] Digital flexible ureteroscopy is performed in the operating room under anesthesia. The urologist inserts a long, thin, flexible tube with a small video camera into your urethra and passes it through the bladder into the ureters and renal pelvis. This allows the urologist to see the lining of your ureters, identify any tumors, and take some tissue biopsies for testing.
  • #8 Ureter Cancer Treatment in NJ | Hackensack Meridian Health Urology
    https://www.hackensackmeridianhealth.org/en/services/urology/ureter-cancer
    Cancer of the ureter is rare and occurs in the tubes that carry urine from the kidneys to the bladder and can also be found in the renal pelvis, the area where urine collects and is funneled into the kidney. […] Because ureter cancer is rare, you need urology experts who are experienced in treating this type of cancer. […] No one has more experience in New Jersey than Hackensack Meridian Health in performing robotic surgery for cancer of the ureter. We specialize in treatment that is minimally invasive and preserves your ureter, your kidney and your quality of life. […] Advanced testing by experienced urologists and uroradiologists is essential for a diagnosis of ureter or renal pelvis cancer. We use the latest imaging and digital ureteroscopy to make an accurate diagnosis. […] Digital flexible ureteroscopy is performed in the operating room under anesthesia. The urologist inserts a long, thin, flexible tube with a small video camera into your urethra and passes it through the bladder into the ureters and renal pelvis. This allows the urologist to see the lining of your ureters, identify any tumors, and take some tissue biopsies for testing.
  • #9 Ureteral cancer – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/ureteral-cancer/diagnosis-treatment/drc-20360722
    Our caring team of Mayo Clinic experts can help you with your ureteral cancer-related health concerns […] Treatment options for ureteral cancer include surgery, chemotherapy, immunotherapy and targeted therapy. Treatment depends on many factors. These factors include the size and location of the cancer, how aggressive the cells are, and your own goals and preferences. […] After your treatment, your healthcare team may create a schedule of follow-up exams. During these exams, the team checks for signs that your cancer has returned. The team also looks for signs of bladder cancer, since people diagnosed with ureteral cancer have an increased risk of bladder cancer. […] If you’re diagnosed with ureteral cancer, you’ll likely be referred to a urologist or oncologist. A urologist is a doctor who specializes in conditions that affect the urinary system. An oncologist is a doctor who specializes in treating cancer.
  • #10 Bladder and Ureteral Cancer
    https://www.froedtert.com/prostate-cancer/bladder-ureteral-cancer
    Ureteral cancer is a cancer that arises in the ducts that transport urine from the kidneys to the bladder (the ureters). It is essentially the same kind of malignancy as bladder cancer. […] The goal of treatment for bladder cancer and ureteral cancer is to cure the disease while maintaining the patients urinary function. Achieving these goals requires a team approach (interdisciplinary care). In the Prostate and Urologic Cancer Program, physicians who specialize in surgical, radiation oncology, medical oncology (drug and hormone therapies) and reconstructive surgery work together to devise an optimal treatment plan for each patient. […] For appropriate patients, Froedtert the Medical College of Wisconsin offer several investigational therapies for bladder and ureteral cancers. These rigorously controlled clinical trials focus on finding new ways to prevent the return of cancer after surgery and slow down the progression of advanced disease.
  • #11 Treatments for cancer of the renal pelvis or ureter | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/treatment
    If you have cancer of the renal pelvis or ureter, your healthcare team will create a treatment plan just for you. It will be based on your health and specific information about the cancer. When deciding which treatments to offer for cancer of the renal pelvis or ureter, your healthcare team will consider the stage and grade of the cancer. […] Surgery is the main treatment for cancer that is only in the renal pelvis or ureter. Depending on where the cancer is located and the stage of the cancer, you may have one of the following types of surgery. […] A radical nephroureterectomy is the most common surgery done for cancer of the renal pelvis or ureter. The surgeon removes the entire kidney, all of the ureter and the tissue where the ureter connects to the bladder (called the bladder cuff).
  • #12
    https://www.amerikanhastanesi.org/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/ureteral-cancer
    Ureteral cancer treatment typically involves surgery. Your treatment options for cancer of the ureter will vary depending on the size and location of your cancer, how aggressive the cells are, and your own goals and preferences. […] Surgery is often recommended to remove ureteral cancer. The extent of your surgery will depend on your situation. […] For very early-stage ureteral cancer, surgery may involve removing only a portion of the ureter. For more-advanced ureteral cancer, it may be necessary to remove the affected ureter, its associated kidney (nephroureterectomy) and a portion of the bladder. […] Chemotherapy is a drug treatment that uses chemicals to kill cancer cells. Chemotherapy is sometimes used before surgery to shrink a tumor and make it easier to remove during surgery. Chemotherapy may be used after surgery to kill any cancer cells that may remain.
  • #13 Treatments for cancer of the renal pelvis or ureter | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/treatment
    If you have cancer of the renal pelvis or ureter, your healthcare team will create a treatment plan just for you. It will be based on your health and specific information about the cancer. When deciding which treatments to offer for cancer of the renal pelvis or ureter, your healthcare team will consider the stage and grade of the cancer. […] Surgery is the main treatment for cancer that is only in the renal pelvis or ureter. Depending on where the cancer is located and the stage of the cancer, you may have one of the following types of surgery. […] A radical nephroureterectomy is the most common surgery done for cancer of the renal pelvis or ureter. The surgeon removes the entire kidney, all of the ureter and the tissue where the ureter connects to the bladder (called the bladder cuff).
  • #14 Renal pelvis or ureter cancer
    https://adamcertificationdemo.adam.com/content.aspx?productid=143&pid=1&gid=000525
    Cancer of the renal pelvis or ureter is cancer that forms in the renal pelvis (center of the kidney) or ureter (tube that carries urine from the kidney to the bladder). […] The goal of treatment is to eliminate the cancer. […] The following procedures may be used to treat the condition: Nephroureterectomy — This involves removal of the entire kidney, ureter, and the bladder cuff (tissue that connects ureter to the bladder) […] Chemotherapy — This is used when the cancer has spread outside of the kidney or ureter. […] Immunotherapy — This is used when the cancer has spread outside of the kidney or ureter. […] You can ease the stress of illness by joining a cancer support group. Sharing with others who have common experiences and problems can help you not feel alone. […] Outcome varies, depending on the location of the tumor and whether the cancer has spread. Cancer that is only in the kidney or ureter may be cured with surgery.
  • #15 Treatments for cancer of the renal pelvis or ureter | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/treatment
    A segmental resection of the ureter is usually only done to remove small tumours in the lower part of the ureter closest to the bladder. The surgeon removes the part of the ureter with the tumour in it along with a margin of healthy tissue above the tumour. Then the ureter is reattached to (reimplanted in) the bladder. […] Endoscopic surgery is when the surgeon removes the tumour using an endoscope and cutting tools passed through the endoscope. It may be done for cancer of the renal pelvis or ureter that is low grade and at an early stage. […] Surgery for cancer of the renal pelvis or ureter may cause these side effects: pain, bleeding, an infection, an intense need to urinate (pee) (urgent urination), a need to urinate more often than usual (frequent urination), bleeding when you urinate, narrowing of the ureters (stricture), blocked ureters (obstruction).
  • #16 Treatments for cancer of the renal pelvis or ureter | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/treatment
    A segmental resection of the ureter is usually only done to remove small tumours in the lower part of the ureter closest to the bladder. The surgeon removes the part of the ureter with the tumour in it along with a margin of healthy tissue above the tumour. Then the ureter is reattached to (reimplanted in) the bladder. […] Endoscopic surgery is when the surgeon removes the tumour using an endoscope and cutting tools passed through the endoscope. It may be done for cancer of the renal pelvis or ureter that is low grade and at an early stage. […] Surgery for cancer of the renal pelvis or ureter may cause these side effects: pain, bleeding, an infection, an intense need to urinate (pee) (urgent urination), a need to urinate more often than usual (frequent urination), bleeding when you urinate, narrowing of the ureters (stricture), blocked ureters (obstruction).
  • #17 Ureter cancer – Overview of Information and Clinical Research
    https://clinicaltrials.eu/disease/ureter-cancer/
    For some patients, endoscopic surgery is an option. This minimally invasive technique uses an endoscope to remove the tumor, which can be beneficial for preserving kidney function. […] Chemotherapy is often used in conjunction with surgery to treat ureteral cancer. It can be administered before surgery (neoadjuvant chemotherapy) to shrink the tumor or after surgery (adjuvant chemotherapy) to eliminate any remaining cancer cells. […] Immunotherapy is another treatment option, especially for advanced or metastatic urothelial carcinoma. This therapy works by enhancing the immune system’s ability to detect and destroy cancer cells, offering hope when chemotherapy is ineffective. […] After treatment, regular follow-up visits are crucial, especially in the first 2 to 3 years. These visits help monitor for any signs of recurrence and manage any side effects of treatment.
  • #18 Ureter Cancer | UC Irvine Health | Department of Urology
    https://www.urology.uci.edu/urological_cancers_ureter_cancer.shtml
    It is important to seek medical care at the first sign of ureter cancer symptoms. […] Ureteral cancer is commonly treated with surgery. Options of treatment for this kind of disease are different from one patient to another. […] Surgery for patients with less advanced ureteral cancer involves the removal of only the affected area of the ureter, while those with advanced cancer may have the entire ureter, the linked kidney, and even a part of their bladder removed. […] Electrosurgery is the process by which electric current is used to remove the affected cells. […] Chemotherapy is the use of drugs to kill cancer cells that might have spread and thrived in other parts of the body other than the initially affected part.
  • #19 Ureter Cancer | Baptist Health
    https://www.baptisthealth.com/care-services/conditions-treatments/ureter-cancer
    Baptist Health is known for advanced, superior care for patients with cancer and the diagnosis, treatment and management of ureter cancer. Our accredited, award-wining cancer care includes a wide array of supportive programs, including dietetics, genetic counseling, psychology, nurse navigators and financial counseling. […] Ureter cancer treatment depends upon how far the condition has progressed. The goal is to eliminate the cancer. […] After surgery, or if cancer has spread elsewhere in the body, special drugs designed to kill cancer cells can be given as a pill or injected into the bloodstream. […] If the cancer is detected at an early stage or only appears on the ureters surface, this procedure can destroy the tumor and adjacent tissue with an electric current. […] If the cancer is detected at an early stage or only appears on the ureters surface, a ureteroscope can be inserted into the ureter and a beam of laser light sent through to destroy the tumor.
  • #20 Treatments for cancer of the renal pelvis or ureter | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/treatment
    A segmental resection of the ureter is usually only done to remove small tumours in the lower part of the ureter closest to the bladder. The surgeon removes the part of the ureter with the tumour in it along with a margin of healthy tissue above the tumour. Then the ureter is reattached to (reimplanted in) the bladder. […] Endoscopic surgery is when the surgeon removes the tumour using an endoscope and cutting tools passed through the endoscope. It may be done for cancer of the renal pelvis or ureter that is low grade and at an early stage. […] Surgery for cancer of the renal pelvis or ureter may cause these side effects: pain, bleeding, an infection, an intense need to urinate (pee) (urgent urination), a need to urinate more often than usual (frequent urination), bleeding when you urinate, narrowing of the ureters (stricture), blocked ureters (obstruction).
  • #21 Treatments for cancer of the renal pelvis or ureter | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/treatment
    Chemotherapy uses anticancer (cytotoxic) drugs to destroy cancer cells. It can be used before surgery (neoadjuvant chemotherapy) or after surgery (adjuvant chemotherapy) to treat cancer of the renal pelvis or ureter that has spread to the lymph nodes or other parts of the body. […] Some common side effects of chemotherapy for cancer of the renal pelvis or ureter are: nausea and vomiting, loss of appetite, fatigue, an infection, hair loss, diarrhea, sore mouth and throat, nerve damage (peripheral neuropathy) that can cause pain, burning or tingling in the hands and feet. […] Immunotherapy helps to strengthen or restore the immune systems ability to find and destroy cancer cells. It may be used to treat advanced or metastatic urothelial carcinoma when chemotherapy doesnt work. […] Immune checkpoint inhibitors may cause these side effects: fatigue, diarrhea, skin problems, such as a rash and itching, nausea and vomiting, loss of appetite, low blood cell counts (myelosuppression), lung problems, such as a cough and difficulty breathing, heart problems, such as inflammation of the heart muscle (myocarditis).
  • #22
    https://www.amerikanhastanesi.org/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/ureteral-cancer
    Ureteral cancer treatment typically involves surgery. Your treatment options for cancer of the ureter will vary depending on the size and location of your cancer, how aggressive the cells are, and your own goals and preferences. […] Surgery is often recommended to remove ureteral cancer. The extent of your surgery will depend on your situation. […] For very early-stage ureteral cancer, surgery may involve removing only a portion of the ureter. For more-advanced ureteral cancer, it may be necessary to remove the affected ureter, its associated kidney (nephroureterectomy) and a portion of the bladder. […] Chemotherapy is a drug treatment that uses chemicals to kill cancer cells. Chemotherapy is sometimes used before surgery to shrink a tumor and make it easier to remove during surgery. Chemotherapy may be used after surgery to kill any cancer cells that may remain.
  • #23 Treatments for cancer of the renal pelvis or ureter | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/treatment
    Chemotherapy uses anticancer (cytotoxic) drugs to destroy cancer cells. It can be used before surgery (neoadjuvant chemotherapy) or after surgery (adjuvant chemotherapy) to treat cancer of the renal pelvis or ureter that has spread to the lymph nodes or other parts of the body. […] Some common side effects of chemotherapy for cancer of the renal pelvis or ureter are: nausea and vomiting, loss of appetite, fatigue, an infection, hair loss, diarrhea, sore mouth and throat, nerve damage (peripheral neuropathy) that can cause pain, burning or tingling in the hands and feet. […] Immunotherapy helps to strengthen or restore the immune systems ability to find and destroy cancer cells. It may be used to treat advanced or metastatic urothelial carcinoma when chemotherapy doesnt work. […] Immune checkpoint inhibitors may cause these side effects: fatigue, diarrhea, skin problems, such as a rash and itching, nausea and vomiting, loss of appetite, low blood cell counts (myelosuppression), lung problems, such as a cough and difficulty breathing, heart problems, such as inflammation of the heart muscle (myocarditis).
  • #24 Treatments for cancer of the renal pelvis or ureter | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/treatment
    Chemotherapy uses anticancer (cytotoxic) drugs to destroy cancer cells. It can be used before surgery (neoadjuvant chemotherapy) or after surgery (adjuvant chemotherapy) to treat cancer of the renal pelvis or ureter that has spread to the lymph nodes or other parts of the body. […] Some common side effects of chemotherapy for cancer of the renal pelvis or ureter are: nausea and vomiting, loss of appetite, fatigue, an infection, hair loss, diarrhea, sore mouth and throat, nerve damage (peripheral neuropathy) that can cause pain, burning or tingling in the hands and feet. […] Immunotherapy helps to strengthen or restore the immune systems ability to find and destroy cancer cells. It may be used to treat advanced or metastatic urothelial carcinoma when chemotherapy doesnt work. […] Immune checkpoint inhibitors may cause these side effects: fatigue, diarrhea, skin problems, such as a rash and itching, nausea and vomiting, loss of appetite, low blood cell counts (myelosuppression), lung problems, such as a cough and difficulty breathing, heart problems, such as inflammation of the heart muscle (myocarditis).
  • #25 Ureteral cancer | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/ureteral-cancer?content_id=CON-20314003
    Ureteral cancer is a growth of cells that starts in the ureters. The ureters are tubes that connect the kidneys to the bladder. The ureters are part of the urinary tract. They carry urine produced by the kidneys to the bladder. […] Treatment for ureteral cancer typically involves surgery. In certain situations, chemotherapy, immunotherapy or targeted therapy may be recommended. […] Surgery is often recommended to remove ureteral cancer. The kind of surgery used for your ureteral cancer will depend on your cancer. […] Chemotherapy treats cancer with strong medicines. Chemotherapy is sometimes used before surgery to shrink the cancer. This can make it easier to remove during surgery. Chemotherapy may be used after surgery to kill any cancer cells that may remain. […] Immunotherapy is a treatment with medicine that helps the body’s immune system kill cancer cells.
  • #26 Treatments for cancer of the renal pelvis or ureter | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/treatment
    Chemotherapy uses anticancer (cytotoxic) drugs to destroy cancer cells. It can be used before surgery (neoadjuvant chemotherapy) or after surgery (adjuvant chemotherapy) to treat cancer of the renal pelvis or ureter that has spread to the lymph nodes or other parts of the body. […] Some common side effects of chemotherapy for cancer of the renal pelvis or ureter are: nausea and vomiting, loss of appetite, fatigue, an infection, hair loss, diarrhea, sore mouth and throat, nerve damage (peripheral neuropathy) that can cause pain, burning or tingling in the hands and feet. […] Immunotherapy helps to strengthen or restore the immune systems ability to find and destroy cancer cells. It may be used to treat advanced or metastatic urothelial carcinoma when chemotherapy doesnt work. […] Immune checkpoint inhibitors may cause these side effects: fatigue, diarrhea, skin problems, such as a rash and itching, nausea and vomiting, loss of appetite, low blood cell counts (myelosuppression), lung problems, such as a cough and difficulty breathing, heart problems, such as inflammation of the heart muscle (myocarditis).
  • #27 Ureteral cancer | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/ureteral-cancer?content_id=CON-20314003
    Targeted therapy for cancer is a treatment that uses medicines that attack specific chemicals in the cancer cells. By blocking these chemicals, targeted treatments can cause cancer cells to die. Your cancer cells may be tested to see if targeted therapy is likely to be effective. […] After your treatment, your healthcare team may create a schedule of follow-up exams. During these exams, the team checks for signs that your cancer has returned. The team also looks for signs of bladder cancer, since people diagnosed with ureteral cancer have an increased risk of bladder cancer.
  • #28 Treatments for cancer of the renal pelvis or ureter | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/treatment
    Radiation therapy uses high-energy rays or particles to destroy cancer cells. During external radiation therapy, a machine directs radiation through the skin to the area with the cancer and some of the tissue around it. […] Side effects of radiation therapy will depend mainly on the size of the area being treated, the specific area or organs being treated, the total dose of radiation and the treatment schedule. Some common side effects of radiation therapy for cancer of the renal pelvis or ureter are: an irritated or inflamed bladder, which can cause a need to urinate more often than usual or blood in the urine, fatigue, skin problems, diarrhea, bleeding from the rectum, loss of bladder control (urinary incontinence). […] Follow-up after treatment is an important part of cancer care. You will need to have regular follow-up visits, especially in the first 2 to 3 years after treatment has finished. These visits allow your healthcare team to monitor your progress and recovery from treatment.
  • #29 Treatments for cancer of the renal pelvis or ureter | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/treatment
    Radiation therapy uses high-energy rays or particles to destroy cancer cells. During external radiation therapy, a machine directs radiation through the skin to the area with the cancer and some of the tissue around it. […] Side effects of radiation therapy will depend mainly on the size of the area being treated, the specific area or organs being treated, the total dose of radiation and the treatment schedule. Some common side effects of radiation therapy for cancer of the renal pelvis or ureter are: an irritated or inflamed bladder, which can cause a need to urinate more often than usual or blood in the urine, fatigue, skin problems, diarrhea, bleeding from the rectum, loss of bladder control (urinary incontinence). […] Follow-up after treatment is an important part of cancer care. You will need to have regular follow-up visits, especially in the first 2 to 3 years after treatment has finished. These visits allow your healthcare team to monitor your progress and recovery from treatment.
  • #30 Urethral Cancer
    https://www.uvmhealth.org/medcenter/conditions-and-treatments/urethral-cancer
    Urethral cancer is a rare cancer that begins in your urethra, which is the tube that carries urine from the bladder to outside the body. […] At the UVM Cancer Center our team of urologists, medical oncologists, radiation oncologists, pathologists, nurses, and patient support specialists work together under one roof to offer the best, most innovative treatment options for Urethral cancer. […] Our group of specialists at the University of Vermont Cancer Center offer the best Urethral Cancer care: […] Our physicians and other support staff work together as a team, providing expert care. A team of specialists that include urologists, medical oncologists, radiation oncologists, pathologists, nurses, and patient support specialists works to keep you in the loop on all of your treatment options.
  • #31 Ureteral Cancer | Fox Chase Cancer Center – Philadelphia PA
    https://www.foxchase.org/clinical-care/conditions/ureteral-cancer
    When you are facing a ureteral cancer diagnosis, where you go for care and how quickly you are seen can make a big difference. […] Our multidisciplinary team is committed to helping you choose a treatment approach that offers the best chance of diagnosing disease, preserving function, and reducing the risk of a recurrence. […] These nationally-recognized physicians are supported by our staff of highly skilled nurse navigators, oncology nurses, nurse practitioners, physician assistants, and social workers. […] Through this coordinated approach, we strive to offer the most thorough and personalized care, as well as access to innovative therapies for your cancer. […] Full spectrum of care for ureteral cancer from detection through survivorship. […] Access to clinical trials for emerging and innovative therapies for ureteral cancer.
  • #32 Urethral Cancer Treatment – San Diego – Scripps Health
    https://www.scripps.org/services/cancer-care/urethral-cancer-treatment
    Radiation therapy may be part of a urethral cancer treatment plan before surgery to shrink the tumor, or after surgery to eliminate remaining cancer cells. It also may be combined with chemotherapy. […] Chemotherapy drugs may be used alone or in combination with other treatments to treat urethral cancer. […] We are here for you not only as your oncologists, but as a robust multidisciplinary team of experts who understands that your cancer journey is about much more than your medical treatment. Specifically, Scripps Cancer Center offers a variety of patient support services to ensure your physical, psychological and emotional well-being as well as resources for dealing with the logistical and financial aspects of cancer care. Our services and resources include: […] Oncology nurses and nurse navigators with extensive clinical expertise in cancer care to help guide you and your caregivers to make informed decisions and ensure your optimal care.
  • #33 Urethral Cancer Treatment – San Diego – Scripps Health
    https://www.scripps.org/services/cancer-care/urethral-cancer-treatment
    Radiation therapy may be part of a urethral cancer treatment plan before surgery to shrink the tumor, or after surgery to eliminate remaining cancer cells. It also may be combined with chemotherapy. […] Chemotherapy drugs may be used alone or in combination with other treatments to treat urethral cancer. […] We are here for you not only as your oncologists, but as a robust multidisciplinary team of experts who understands that your cancer journey is about much more than your medical treatment. Specifically, Scripps Cancer Center offers a variety of patient support services to ensure your physical, psychological and emotional well-being as well as resources for dealing with the logistical and financial aspects of cancer care. Our services and resources include: […] Oncology nurses and nurse navigators with extensive clinical expertise in cancer care to help guide you and your caregivers to make informed decisions and ensure your optimal care.
  • #34 Urethral Cancer Treatment – San Diego – Scripps Health
    https://www.scripps.org/services/cancer-care/urethral-cancer-treatment
    Palliative care to provide an extra layer of supportive care to manage pain and relieve symptoms, offer emotional and spiritual support, and improve your quality of life. […] Oncology social workers specially trained to provide counseling, connect you with community and medical resources, assist with transportation and housing and coordinate care after discharge. […] Our registered dietitian nutritionists offer individualized nutrition support for patients whose efforts to optimize their nutrition may be affected by cancer symptoms or treatment side effects. […] Referrals and professional care from experts in psychology, psychiatry and emotional health, including individual and family counseling to help with the emotional challenges of cancer. […] Physical rehabilitation and occupational therapy services, including wound care, voice therapy and swallowing therapy, lymphedema therapy, balance and vestibular rehabilitation, yoga and more.
  • #35 Urethral Cancer Treatment – San Diego – Scripps Health
    https://www.scripps.org/services/cancer-care/urethral-cancer-treatment
    Palliative care to provide an extra layer of supportive care to manage pain and relieve symptoms, offer emotional and spiritual support, and improve your quality of life. […] Oncology social workers specially trained to provide counseling, connect you with community and medical resources, assist with transportation and housing and coordinate care after discharge. […] Our registered dietitian nutritionists offer individualized nutrition support for patients whose efforts to optimize their nutrition may be affected by cancer symptoms or treatment side effects. […] Referrals and professional care from experts in psychology, psychiatry and emotional health, including individual and family counseling to help with the emotional challenges of cancer. […] Physical rehabilitation and occupational therapy services, including wound care, voice therapy and swallowing therapy, lymphedema therapy, balance and vestibular rehabilitation, yoga and more.
  • #36 Urethral Cancer Treatment – San Diego – Scripps Health
    https://www.scripps.org/services/cancer-care/urethral-cancer-treatment
    Palliative care to provide an extra layer of supportive care to manage pain and relieve symptoms, offer emotional and spiritual support, and improve your quality of life. […] Oncology social workers specially trained to provide counseling, connect you with community and medical resources, assist with transportation and housing and coordinate care after discharge. […] Our registered dietitian nutritionists offer individualized nutrition support for patients whose efforts to optimize their nutrition may be affected by cancer symptoms or treatment side effects. […] Referrals and professional care from experts in psychology, psychiatry and emotional health, including individual and family counseling to help with the emotional challenges of cancer. […] Physical rehabilitation and occupational therapy services, including wound care, voice therapy and swallowing therapy, lymphedema therapy, balance and vestibular rehabilitation, yoga and more.
  • #37 Urethral Cancer Treatment – San Diego – Scripps Health
    https://www.scripps.org/services/cancer-care/urethral-cancer-treatment
    Palliative care to provide an extra layer of supportive care to manage pain and relieve symptoms, offer emotional and spiritual support, and improve your quality of life. […] Oncology social workers specially trained to provide counseling, connect you with community and medical resources, assist with transportation and housing and coordinate care after discharge. […] Our registered dietitian nutritionists offer individualized nutrition support for patients whose efforts to optimize their nutrition may be affected by cancer symptoms or treatment side effects. […] Referrals and professional care from experts in psychology, psychiatry and emotional health, including individual and family counseling to help with the emotional challenges of cancer. […] Physical rehabilitation and occupational therapy services, including wound care, voice therapy and swallowing therapy, lymphedema therapy, balance and vestibular rehabilitation, yoga and more.
  • #38 Urethral Cancer Treatment – San Diego – Scripps Health
    https://www.scripps.org/services/cancer-care/urethral-cancer-treatment
    Palliative care to provide an extra layer of supportive care to manage pain and relieve symptoms, offer emotional and spiritual support, and improve your quality of life. […] Oncology social workers specially trained to provide counseling, connect you with community and medical resources, assist with transportation and housing and coordinate care after discharge. […] Our registered dietitian nutritionists offer individualized nutrition support for patients whose efforts to optimize their nutrition may be affected by cancer symptoms or treatment side effects. […] Referrals and professional care from experts in psychology, psychiatry and emotional health, including individual and family counseling to help with the emotional challenges of cancer. […] Physical rehabilitation and occupational therapy services, including wound care, voice therapy and swallowing therapy, lymphedema therapy, balance and vestibular rehabilitation, yoga and more.
  • #39 Urethral Cancer Treatment – San Diego – Scripps Health
    https://www.scripps.org/services/cancer-care/urethral-cancer-treatment
    Scripps Center for Integrative Medicine for patients interested in mind-body healing through acupuncture, biofeedback, herbal nutrition, massage therapy, integrative cancer care and more. […] Nondenominational spiritual care offered by our chaplains to help coordinate spiritual care with your own clergy, rabbi or spiritual advisor.
  • #40 Ureteral cancer – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/ureteral-cancer/diagnosis-treatment/drc-20360722
    Our caring team of Mayo Clinic experts can help you with your ureteral cancer-related health concerns […] Treatment options for ureteral cancer include surgery, chemotherapy, immunotherapy and targeted therapy. Treatment depends on many factors. These factors include the size and location of the cancer, how aggressive the cells are, and your own goals and preferences. […] After your treatment, your healthcare team may create a schedule of follow-up exams. During these exams, the team checks for signs that your cancer has returned. The team also looks for signs of bladder cancer, since people diagnosed with ureteral cancer have an increased risk of bladder cancer. […] If you’re diagnosed with ureteral cancer, you’ll likely be referred to a urologist or oncologist. A urologist is a doctor who specializes in conditions that affect the urinary system. An oncologist is a doctor who specializes in treating cancer.
  • #41
    https://www.amerikanhastanesi.org/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/ureteral-cancer
    Immunotherapy uses your immune system to fight cancer. Your body’s disease-fighting immune system may not attack your cancer because the cancer cells produce proteins that help them hide from the immune system cells. Immunotherapy works by interfering with that process. […] After your treatment, your doctor will create a schedule of follow-up exams to look for signs that your cancer has returned. These exams also look for signs of bladder cancer, since people diagnosed with ureteral cancer have an increased risk of bladder cancer.
  • #42 Treatments for cancer of the renal pelvis or ureter | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/treatment
    Radiation therapy uses high-energy rays or particles to destroy cancer cells. During external radiation therapy, a machine directs radiation through the skin to the area with the cancer and some of the tissue around it. […] Side effects of radiation therapy will depend mainly on the size of the area being treated, the specific area or organs being treated, the total dose of radiation and the treatment schedule. Some common side effects of radiation therapy for cancer of the renal pelvis or ureter are: an irritated or inflamed bladder, which can cause a need to urinate more often than usual or blood in the urine, fatigue, skin problems, diarrhea, bleeding from the rectum, loss of bladder control (urinary incontinence). […] Follow-up after treatment is an important part of cancer care. You will need to have regular follow-up visits, especially in the first 2 to 3 years after treatment has finished. These visits allow your healthcare team to monitor your progress and recovery from treatment.
  • #43 Ureter cancer – Overview of Information and Clinical Research
    https://clinicaltrials.eu/disease/ureter-cancer/
    For some patients, endoscopic surgery is an option. This minimally invasive technique uses an endoscope to remove the tumor, which can be beneficial for preserving kidney function. […] Chemotherapy is often used in conjunction with surgery to treat ureteral cancer. It can be administered before surgery (neoadjuvant chemotherapy) to shrink the tumor or after surgery (adjuvant chemotherapy) to eliminate any remaining cancer cells. […] Immunotherapy is another treatment option, especially for advanced or metastatic urothelial carcinoma. This therapy works by enhancing the immune system’s ability to detect and destroy cancer cells, offering hope when chemotherapy is ineffective. […] After treatment, regular follow-up visits are crucial, especially in the first 2 to 3 years. These visits help monitor for any signs of recurrence and manage any side effects of treatment.
  • #44
    https://journals.lww.com/cur/fulltext/2024/03000/the_challenging_management_of_malignant_ureteral.8.aspx
    Malignant ureteral obstruction (MUO) is a common condition that complicates the course of advanced malignancies. The aims of this study are to analyze the causes, management, and survival of patients with obstructive nephropathy due to malignant ureteric obstruction and to determine prognostic factors. […] In patients with MUO, some factors make management difficult, such as poor prognosis, morbidity associated with urinary diversion, ethical dilemmas surrounding urinary diversion in this scenario, and the immunocompromised state of many patients. […] Treatment of obstructive uropathy depends on the etiology, ranging from palliative to curative options. Malignant ureteral obstruction is treated by ureteral stenting or PCN, depending on the demands of the patients condition. […] Urinary diversion is often a lifelong solution in these patients.
  • #45
    https://journals.lww.com/cur/fulltext/2024/03000/the_challenging_management_of_malignant_ureteral.8.aspx
    Malignant ureteral obstruction (MUO) is a common condition that complicates the course of advanced malignancies. The aims of this study are to analyze the causes, management, and survival of patients with obstructive nephropathy due to malignant ureteric obstruction and to determine prognostic factors. […] In patients with MUO, some factors make management difficult, such as poor prognosis, morbidity associated with urinary diversion, ethical dilemmas surrounding urinary diversion in this scenario, and the immunocompromised state of many patients. […] Treatment of obstructive uropathy depends on the etiology, ranging from palliative to curative options. Malignant ureteral obstruction is treated by ureteral stenting or PCN, depending on the demands of the patients condition. […] Urinary diversion is often a lifelong solution in these patients.
  • #46
    https://journals.lww.com/cur/fulltext/2024/03000/the_challenging_management_of_malignant_ureteral.8.aspx
    Clinicians involved in the management of cancer patients, such as urologists and oncologists, frequently face the dilemma of deciding whether urinary diversion is indicated in cancer patients with obstructive uropathy. […] The purposes of this study were to evaluate the causes, management, and survival of patients with obstructive nephropathy due to malignant ureteric obstruction and to determine prognostic factors for the condition. […] The most common indication for urinary diversion was acute kidney injury (53.3%). Recovery of renal function was observed in 55.8% of the patients after urinary diversion. […] The median overall survival (OS) from hydronephrosis diagnosis was 6.43 months (IQR, 1.9114.81 months) in our series of 188 cancer patients. […] The median survival after urinary diversion was 8.67 months (IQR, 2.9917.28 months) for the 48 of 188 patients who underwent this procedure.
  • #47
    https://journals.lww.com/cur/fulltext/2024/03000/the_challenging_management_of_malignant_ureteral.8.aspx
    Clinicians involved in the management of cancer patients, such as urologists and oncologists, frequently face the dilemma of deciding whether urinary diversion is indicated in cancer patients with obstructive uropathy. […] The purposes of this study were to evaluate the causes, management, and survival of patients with obstructive nephropathy due to malignant ureteric obstruction and to determine prognostic factors for the condition. […] The most common indication for urinary diversion was acute kidney injury (53.3%). Recovery of renal function was observed in 55.8% of the patients after urinary diversion. […] The median overall survival (OS) from hydronephrosis diagnosis was 6.43 months (IQR, 1.9114.81 months) in our series of 188 cancer patients. […] The median survival after urinary diversion was 8.67 months (IQR, 2.9917.28 months) for the 48 of 188 patients who underwent this procedure.
  • #48 Bladder and Ureteral Cancer
    https://www.froedtert.com/prostate-cancer/bladder-ureteral-cancer
    Ureteral cancer is a cancer that arises in the ducts that transport urine from the kidneys to the bladder (the ureters). It is essentially the same kind of malignancy as bladder cancer. […] The goal of treatment for bladder cancer and ureteral cancer is to cure the disease while maintaining the patients urinary function. Achieving these goals requires a team approach (interdisciplinary care). In the Prostate and Urologic Cancer Program, physicians who specialize in surgical, radiation oncology, medical oncology (drug and hormone therapies) and reconstructive surgery work together to devise an optimal treatment plan for each patient. […] For appropriate patients, Froedtert the Medical College of Wisconsin offer several investigational therapies for bladder and ureteral cancers. These rigorously controlled clinical trials focus on finding new ways to prevent the return of cancer after surgery and slow down the progression of advanced disease.
  • #49 Urethral Cancer
    https://www.uvmhealth.org/medcenter/conditions-and-treatments/urethral-cancer
    We treat Urethral Cancer using a comprehensive team approach, where our highly trained physicians, knowledgeable nurses and support staff come together to provide personalized care that is on the cutting edge of the technology. Common treatments for Urethral Cancer include: […] Expert surgeons use advanced technology to perform a minimally invasive, more precise operation than traditional, open surgery allows. Robotic surgery offers several potential benefits compared with other treatment methods. […] The UVM Medical Center has a history of clinical trial experience. Clinical trials are research studies that test the newest cancer treatments and new ways of using existing cancer treatments.
  • #50 Ureter Cancer Treatment in NJ | Hackensack Meridian Health Urology
    https://www.hackensackmeridianhealth.org/en/services/urology/ureter-cancer
    The urologists at Hackensack Meridian Health are recognized worldwide as leaders in robotic surgery. We are highly experienced in robotic and minimally invasive surgeries for cancer in the ureter and renal pelvis. Our goal is to treat your cancer while removing the least amount of your ureter and kidney. […] When it comes to treating your ureter cancer, our urology team will recommend the most effective treatment for your cancer while preserving your ureter and kidney whenever possible. […] Our team of urologists works with medical oncology colleagues at the John Theurer Cancer Center to determine if systemic chemotherapy is appropriate for you. We offer the latest, most promising chemotherapy treatments designed to target ureter cancer. […] The Department of Urology at Hackensack University Medical Center, a nationally ranked program by U.S. News World Report, is renowned for its high-quality urologic care, including excellence in research and clinical outcomes. […] We have a particularly strong program committed to Phase I clinical trials, the earliest phase of assessment of a new therapy in patients. For urologic cancers, we are evaluating novel biological agents as well as immunotherapy options that are changing the field.
  • #51 Renal pelvis or ureter cancer
    https://adamcertificationdemo.adam.com/content.aspx?productid=143&pid=1&gid=000525
    Cancer of the renal pelvis or ureter is cancer that forms in the renal pelvis (center of the kidney) or ureter (tube that carries urine from the kidney to the bladder). […] The goal of treatment is to eliminate the cancer. […] The following procedures may be used to treat the condition: Nephroureterectomy — This involves removal of the entire kidney, ureter, and the bladder cuff (tissue that connects ureter to the bladder) […] Chemotherapy — This is used when the cancer has spread outside of the kidney or ureter. […] Immunotherapy — This is used when the cancer has spread outside of the kidney or ureter. […] You can ease the stress of illness by joining a cancer support group. Sharing with others who have common experiences and problems can help you not feel alone. […] Outcome varies, depending on the location of the tumor and whether the cancer has spread. Cancer that is only in the kidney or ureter may be cured with surgery.
  • #52 Renal pelvis or ureter cancer
    https://adamcertificationdemo.adam.com/content.aspx?productid=143&pid=1&gid=000525
    Cancer that has spread to other organs is usually not curable. […] Measures that may help prevent this cancer include: Follow your provider’s advice regarding medicines, including over-the-counter pain medicine. […] Stop smoking. […] Wear protective equipment if you are likely to be exposed to substances that are toxic to the kidneys.
  • #53 Ureter cancer – Overview of Information and Clinical Research
    https://clinicaltrials.eu/disease/ureter-cancer/
    Patients are encouraged to discuss their treatment options and follow-up care with their healthcare team to make informed decisions. […] Living with ureteral cancer involves understanding the potential outcomes and managing the disease effectively. If the cancer has not spread and can be completely removed surgically, a cure is likely. […] Generally, the earlier ureteral cancer is diagnosed and treated, the better the outcome. Low-grade cancers that do not usually grow into the muscle layer of the renal pelvis or ureter wall and do not spread to other parts of the body tend to have a good prognosis.