Rak moczowodu
Etiologia i przyczyny
Rak moczowodu jest rzadkim nowotworem urotelialnym, stanowiącym mniej niż 5-10% wszystkich nowotworów układu moczowego, rozwijającym się na skutek mutacji genetycznych w komórkach nabłonka przejściowego moczowodu. Najczęstszą aberracją chromosomalną jest utrata chromosomu 9, a mutacje w genach supresorowych, takich jak TP53, zwiększają ryzyko rozwoju choroby. Rak moczowodu występuje głównie u osób w wieku 70-80 lat, z przewagą mężczyzn (stosunek 2:1). Kluczowymi czynnikami ryzyka są palenie tytoniu (zwiększające ryzyko ponad trzykrotnie i odpowiadające za 70% przypadków u mężczyzn oraz 40% u kobiet), ekspozycja zawodowa na aminy aromatyczne i inne substancje chemiczne, zespół Lyncha (obecny u około 21% pacjentów z UTUC), przewlekłe stany zapalne dróg moczowych, nefropatia bałkańska oraz stosowanie leków nefrotoksycznych, takich jak fenacetyna czy cyklofosfamid. Występuje zjawisko „field cancerization”, co tłumaczy wieloogniskowość i współwystępowanie raka moczowodu z rakiem pęcherza moczowego.
- Etiologia raka moczowodu (Etiology of Ureteral Cancer)
- Czynniki ryzyka rozwoju raka moczowodu
- Palenie tytoniu
- Wcześniejszy rak pęcherza moczowego lub nerek
- Narażenie zawodowe na substancje chemiczne
- Predyspozycje genetyczne i zespoły dziedziczne
- Przewlekłe stany zapalne i infekcje dróg moczowych
- Leki i substancje nefrotoksyczne
- Nefropatia bałkańska
- Inne czynniki ryzyka
- Związek z rakiem pęcherza moczowego
- Typy histologiczne raka moczowodu
- Zapobieganie rakowi moczowodu
- Podsumowanie
Etiologia raka moczowodu (Etiology of Ureteral Cancer)
Rak moczowodu jest rzadkim nowotworem złośliwym wywodzącym się z komórek nabłonka przejściowego (urotelialnego) wyściełającego moczowód. Ten typ nowotworu należy do grupy nowotworów górnego odcinka dróg moczowych (UTUC – Upper Tract Urothelial Carcinoma) i stanowi mniej niż 5-10% wszystkich nowotworów układu moczowego.12 Dokładna przyczyna raka moczowodu nie jest w pełni poznana, jednak zidentyfikowano szereg czynników ryzyka, które przyczyniają się do rozwoju tej choroby.34 Podobnie jak w przypadku innych nowotworów, rak moczowodu powstaje w wyniku zmian genetycznych (mutacji) w DNA komórek wyściełających moczowód.56
Mechanizm powstawania raka moczowodu
Rak moczowodu rozwija się, gdy komórki nabłonka moczowodu ulegają zmianom genetycznym, które zaburzają normalny proces wzrostu i podziału komórkowego. Te zmiany w DNA powodują, że komórki otrzymują nieprawidłowe instrukcje – zaczynają się szybko mnożyć i nie umierają, gdy powinny zgodnie z naturalnym cyklem życia komórki.78 W rezultacie dochodzi do niekontrolowanego wzrostu komórek, które mogą utworzyć guz nowotworowy zdolny do blokowania moczowodu lub rozprzestrzeniania się do innych części ciała.910
W przypadku raka moczowodu często obserwuje się zjawisko „field cancerization” (kanceryzacji pola), co oznacza, że cały nabłonek przejściowy dróg moczowych jest narażony na działanie potencjalnych karcynogenów wydalanych z moczem lub aktywowanych przez enzymy hydrolizujące obecne w moczu.11 Może to wyjaśniać, dlaczego nowotwory urotellialne mają tendencję do występowania wieloogniskowo, a pacjenci z rakiem moczowodu są bardziej narażeni na rozwój raka pęcherza moczowego i odwrotnie.12
Badania cytogenetyczne wykazały, że najczęstszą aberracją chromosomalną w raku moczowodu jest częściowa lub całkowita utrata chromosomu 9.13 Ponadto mutacje w genach supresorowych nowotworów, takich jak TP53, mogą zwiększać ryzyko rozwoju raka moczowodu.14
Czynniki demograficzne i epidemiologiczne
Rak moczowodu występuje częściej u osób starszych, głównie w wieku 70-80 lat.1516 Nowotwór ten dotyka częściej mężczyzn niż kobiety (w stosunku około 2:1).1718 Jest to rzadki nowotwór, ale jego częstość występowania rośnie w krajach rozwiniętych, szczególnie w Europie i Ameryce Północnej, co może być związane z rozpowszechnieniem palenia tytoniu.19
Czynniki ryzyka rozwoju raka moczowodu
Palenie tytoniu
Palenie tytoniu jest najsilniejszym modyfikowalnym czynnikiem ryzyka rozwoju raka moczowodu.2021 Zwiększa ono ryzyko zachorowania ponad trzykrotnie i jest związane z 70% przypadków raka moczowodu u mężczyzn i 40% u kobiet.22 Szkodliwe substancje zawarte w dymie tytoniowym są przetwarzane przez organizm i wydalane z moczem, gdzie mogą uszkadzać nabłonek dróg moczowych, w tym moczowodów.23 Im dłuższy jest okres palenia i większa liczba wypalanych papierosów, tym wyższe ryzyko.24 Po zaprzestaniu palenia ryzyko stopniowo maleje z czasem.25
Wcześniejszy rak pęcherza moczowego lub nerek
Osoby, które wcześniej chorowały na raka pęcherza moczowego lub nerek, są bardziej narażone na rozwój raka moczowodu.2627 Według danych statystycznych, około 22-47% pacjentów z rakiem moczowodu rozwinie w przyszłości również raka pęcherza moczowego.28 Jest to związane z faktem, że zarówno moczowód, jak i pęcherz moczowy są wyścielone tym samym typem komórek nabłonka przejściowego, które mogą być narażone na te same karcynogeny wydalane z moczem.2930
Narażenie zawodowe na substancje chemiczne
Ekspozycja na określone substancje chemiczne w miejscu pracy jest istotnym czynnikiem ryzyka rozwoju raka moczowodu.31 Szczególnie niebezpieczne są aminy aromatyczne stosowane w produkcji barwników, a także substancje chemiczne używane do wytwarzania wyrobów skórzanych, tekstyliów, tworzyw sztucznych, gumy i farb.3233 Długotrwałe narażenie na te substancje może powodować przewlekłe podrażnienie dróg moczowych i zwiększać ryzyko rozwoju raka moczowodu.34
Predyspozycje genetyczne i zespoły dziedziczne
Czynniki genetyczne odgrywają istotną rolę w patogenezie raka moczowodu. Szczególnie ważnym czynnikiem ryzyka jest zespół Lyncha (dziedziczny rak jelita grubego niezwiązany z polipowatością, HNPCC).3536 Osoby z tym zespołem mają zwiększone ryzyko rozwoju różnych nowotworów, w tym raka moczowodu. Szacuje się, że około 21% pacjentów z rakiem górnego odcinka dróg moczowych ma wariant zespołu Lyncha.37 Zespół ten jest związany z wczesnym występowaniem nowotworów okrężnicy oraz nowotworami pozaokrężniczymi, w tym nowotworami dróg moczowych.38
Przewlekłe stany zapalne i infekcje dróg moczowych
Przewlekłe stany zapalne dróg moczowych, takie jak nawracające infekcje lub obecność kamieni nerkowych, mogą zwiększać ryzyko rozwoju raka moczowodu, szczególnie typu płaskonabłonkowego.3940 Długotrwałe podrażnienie i stan zapalny mogą prowadzić do zmian w komórkach nabłonka moczowodu i zwiększać podatność na transformację nowotworową.41
Leki i substancje nefrotoksyczne
Długotrwałe stosowanie niektórych leków przeciwbólowych, szczególnie fenacetyny, jest związane ze zwiększonym ryzykiem rozwoju raka moczowodu.4243 Fenacetyna, która nie jest już dostępna na rynku od lat 80. XX wieku, powodowała nefropatię analgetyczną i zwiększała ryzyko raka moczowodu nawet o 70%.4445
Również ekspozycja na kwas arystolochowy, substancję produkowaną przez rośliny z rodzaju Aristolochia, która może być obecna w niektórych ziołowych preparatach, zwiększa ryzyko uszkodzenia nerek i rozwoju raka moczowodu.4647
Leki przeciwnowotworowe, takie jak cyklofosfamid i ifosfamid, również mogą zwiększać ryzyko rozwoju raka moczowodu, szczególnie poprzez działanie metabolitu cyklofosfamidu – akroleiny.4849
Nefropatia bałkańska
Nefropatia bałkańska, degeneracyjne zapalenie śródmiąższowe nerek związane ze spożyciem kwasu arystolochowego, jest czynnikiem ryzyka rozwoju raka moczowodu.5051 Choroba ta występuje głównie na terenach Półwyspu Bałkańskiego i jest związana ze zwiększoną częstością występowania nowotworów górnego odcinka dróg moczowych.52
Inne czynniki ryzyka
Wśród innych czynników mogących zwiększać ryzyko rozwoju raka moczowodu wymienia się:
- Picie dużych ilości kawy (ponad 7 filiżanek dziennie)53
- Wcześniejsza radioterapia okolicy miednicy5455
- Otyłość – zwiększa ryzyko o około 10% jako niezależny czynnik ryzyka56
- Długotrwałe stosowanie cewników moczowych57
- Ekspozycja na arsen w wodzie pitnej5859
Związek z rakiem pęcherza moczowego
Rak moczowodu jest ściśle związany z rakiem pęcherza moczowego.60 Oba te nowotwory wywodzą się z tego samego typu komórek nabłonka przejściowego (urotelium) i są narażone na te same karcynogeny wydalane z moczem.61 Nowotwory urotellialne mają tendencję do występowania wieloogniskowo i rozprzestrzeniania się wzdłuż dróg moczowych.62
Raki moczowodu określane są jako nowotwory zstępujące, gdy pochodzą z miedniczki nerkowej, kielicha lub moczowodu i rozszerzają się w kierunku pęcherza moczowego.63 Jest to ważne z punktu widzenia nadzoru onkologicznego, ponieważ pacjenci z rakiem moczowodu wymagają regularnej kontroli pęcherza moczowego, a pacjenci z rakiem pęcherza moczowego – kontroli górnych dróg moczowych.64
Typy histologiczne raka moczowodu
Ponad 90% nowotworów moczowodu to raki urotellialne (dawniej nazywane rakami z nabłonka przejściowego), które są histologicznie identyczne z rakami powstającymi w pęcherzu moczowym.65 Rzadziej występują inne typy histologiczne, takie jak rak płaskonabłonkowy czy gruczolakorak.66
Rak płaskonabłonkowy moczowodu występuje częściej u pacjentów z przewlekłymi infekcjami, podrażnieniami i kamicą moczową.6768 Z kolei infekcja Schistosoma haematobium jest związana z rozwojem agresywnego raka płaskonabłonkowego pęcherza moczowego, który może również występować w moczowodzie.69
Zapobieganie rakowi moczowodu
Ponieważ dokładna przyczyna raka moczowodu nie jest w pełni poznana, całkowite zapobieganie tej chorobie nie jest możliwe.70 Można jednak zmniejszyć ryzyko rozwoju raka moczowodu poprzez:
- Zaprzestanie palenia tytoniu7172
- Ograniczenie ekspozycji na szkodliwe substancje chemiczne w miejscu pracy7374
- Unikanie nadmiernego przyjmowania leków przeciwbólowych75
- Odpowiednie leczenie przewlekłych infekcji dróg moczowych i kamicy nerkowej76
- Regularne badania kontrolne u osób z czynnikami ryzyka, zwłaszcza z wywiadem rodzinnym nowotworów związanych z zespołem Lyncha77
W przypadku osób z wcześniejszym rakiem pęcherza moczowego lub górnego odcinka dróg moczowych szczególnie ważne jest ścisłe monitorowanie, zwłaszcza w pierwszych trzech latach po diagnozie, aby zapobiec rozwojowi nowych ognisk nowotworu w innych częściach układu moczowego.78
Podsumowanie
Rak moczowodu jest rzadkim nowotworem, którego dokładna przyczyna nie jest w pełni poznana. Rozwija się w wyniku zmian genetycznych w komórkach wyściełających moczowód, które prowadzą do niekontrolowanego wzrostu i podziału komórkowego. Główne czynniki ryzyka to palenie tytoniu, wcześniejszy rak pęcherza moczowego lub nerek, narażenie zawodowe na określone substancje chemiczne, zespół Lyncha, przewlekłe stany zapalne dróg moczowych oraz ekspozycja na niektóre leki i substancje nefrotoksyczne.7980
Rak moczowodu ma ścisły związek z rakiem pęcherza moczowego, co wynika z podobieństwa w budowie histologicznej nabłonka wyściełającego oba narządy oraz narażenia na te same karcynogeny wydalane z moczem.8182 Dlatego osoby z rakiem moczowodu wymagają regularnej kontroli pęcherza moczowego i odwrotnie.
Zapobieganie rakowi moczowodu opiera się głównie na eliminacji modyfikowalnych czynników ryzyka, takich jak palenie tytoniu i ekspozycja na szkodliwe substancje chemiczne, oraz na regularnych badaniach kontrolnych u osób z grupy wysokiego ryzyka.83
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Materiały źródłowe
- #1 Upper Tract Urothelial Cancer – UF Healthhttps://ufhealth.org/conditions-and-treatments/upper-tract-urothelial-cancer
UTUCs are relatively uncommon and account for only 5 percent to 10 percent of urinary tract cancers. These cancers develop primarily in people older than 70. Men are affected twice as frequently as women. […] Smoking is one of the largest adjustable risk factors for developing UTUC. The risk increases with both the amount and duration of smoking and appears to decrease over time with smoking cessation. […] Patients with a history of bladder cancer are at increased risk of developing UTUC. […] Chronic inflammation from recurrent urinary tract infections or kidney stones can increase the risk of developing UTUC. […] Abuse of phenacetin (no longer available) is associated with an increased risk of developing UTUC. […] Exposure to cyclophosphamide or ifosfamide appears to increase the risk of developing UTUC.
- #2 Upper Tract Urothelial Cancer (UTUC) | Cancer Councilhttps://www.cancer.org.au/cancer-information/types-of-cancer/rare-cancers/upper-tract-urothelial-cancer
Upper tract urothelial cancer (UTUC) is not common. […] The cause of UTUC is not known in most cases. However, there are several risk factors: smoking tobacco, a history of long-term inflammation of the ureter or kidney, exposure to certain chemicals over time, such as those used to make plastics, textiles, rubber, paint and dyes, exposure to arsenic, prior chemotherapy or radiation therapy for another cancer, long-term use of large quantities of painkillers, family history of bladder cancer, having Lynch syndrome or Balkan nephropathy. […] As the causes of UTUC is not known in most cases it is not possible to prevent the disease. However, quitting smoking, limiting exposure to certain chemicals and not taking large quantities of painkillers can help reduce your risk of developing UTUC.
- #3 Ureteral Cancer: Causes, Symptoms, Prevention and Treatment | Apollo Hospitalshttps://www.apollohospitals.com/diseases-and-conditions/ureteral-cancer-causes-symptoms-prevention-treatment/
Ureteral cancer is the abnormal growth of cells on the inner lining of the ureters. […] The exact cause of ureteral cancer is still unknown. It starts when the cells in the ureters undergo some changes in their DNA. […] Some factors can also increase your risk of getting ureteral cancer which includes: […] Old Age: This type of cancer is rare, and it usually affects people over the age of 65 […] Smoking: It increases the risk of urological problems, such as ureteral cancer, kidney cancer, and bladder cancer. […] History of Bladder Cancer: a person who was previously suffering from bladder cancer is at increased risk of getting ureteral cancer […] Genetic: Lynch syndrome, also called Hereditary nonpolyposis colorectal cancer (HNPCC) increases the risk for cancers, so if your family has a history of cancer, you’re at an increased risk.
- #4 Ureteral Cancer Causes, Symptoms and Treatmenthttps://www.netmeds.com/health-library/post/ureteral-cancer-causes-symptoms-and-treatment
Ureteral cancer is more common in people previously diagnosed with bladder cancer or kidney cancer. […] The ultimate cause of ureteral cancer is yet unknown, but it usually occurs when there is a change or mutation in the DNA of the cells that line the ureter. […] Certain causative factors that increase the risk of ureteral cancer include age, gender, previous cancer conditions, smoking, genetics, exposure to chemicals, medications, and herbal formulations.
- #5 Ureteral cancer | Beacon Health Systemhttps://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. Ureteral cancer is not common. When it happens, it occurs most often in older adults and in people who have had bladder cancer. […] It’s not clear what causes ureteral cancer. Ureteral cancer starts as a growth of cells in a ureter. Ureteral cancer happens when cells in a ureter develop changes in their DNA. A cell’s DNA holds the instructions that tell the cell what to do. In healthy cells, the DNA tells the cells to grow and multiply at a set rate. The DNA also tells the cells to die at a set time. […] The cancer cells might form a mass called a tumor. The tumor can grow to invade and destroy healthy body tissue. In time, cancer cells can break away and spread to other parts of the body. When cancer spreads, it’s called metastatic cancer.
- #6https://www.amerikanhastanesi.org/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/ureteral-cancer
Ureteral cancer is uncommon. It occurs most often in older adults and in people who have previously been treated for bladder cancer. […] It’s not clear what causes ureteral cancer. Ureteral cancer happens when cells on the inside lining of the ureter develop changes (mutations) in their DNA. A cell’s DNA contains the instructions that tell a cell what to do. The changes tell the cells to multiply rapidly and to continue living beyond their typical life cycle. The result is a growing mass of abnormal cells that can grow to block the ureter or spread to other areas of the body. […] Factors that can increase the risk of ureteral cancer include: Increasing age. The risk of ureteral cancer increases with age. Most people diagnosed with this cancer are in their 70s and 80s. Previous bladder or kidney cancer. People who have been diagnosed with bladder cancer or kidney cancer have an increased risk of ureteral cancer. Smoking. Smoking tobacco increases the risk of ureteral cancer, as well as other urinary tract cancers, including kidney cancer and bladder cancer. Family history of cancer. Lynch syndrome, also called hereditary nonpolyposis colorectal cancer (HNPCC), increases the risk of colon cancer and other cancers, including ureteral cancer. If you have a strong family history of cancer, discuss it with your doctor. Together you may decide whether to consider genetic testing for Lynch syndrome and other inherited cancer syndromes.
- #7 Ureteral cancer | UM Health-Sparrowhttps://www.uofmhealthsparrow.org/departments-conditions/conditions/ureteral-cancer
Ureteral cancer is not common. When it happens, it occurs most often in older adults and in people who have had bladder cancer. […] It’s not clear what causes ureteral cancer. Ureteral cancer starts as a growth of cells in a ureter. Ureteral cancer happens when cells in a ureter develop changes in their DNA. A cell’s DNA holds the instructions that tell the cell what to do. In healthy cells, the DNA tells the cells to grow and multiply at a set rate. The DNA also tells the cells to die at a set time. […] Factors that can increase the risk of ureteral cancer include: Increasing age. The risk of ureteral cancer goes up with age. Most people diagnosed with this cancer are in their 70s and 80s. Previous bladder or kidney cancer. People who have been diagnosed with bladder cancer or kidney cancer have a higher risk of ureteral cancer. Smoking tobacco. Smoking tobacco raises the risk of ureteral cancer. It also raises the risk of other urinary tract cancers, including kidney cancer and bladder cancer. Exposure to certain chemicals. Working with certain chemicals is linked to an increased risk of ureteral cancer. Family history of cancer. If you have a strong family history of cancer, discuss it with your healthcare professional. Together you may decide whether to consider genetic testing for inherited cancer syndromes such as Lynch syndrome. Lynch syndrome raises the risk of colon cancer and other cancers, including ureteral cancer.
- #8 Ureteral Carcinoma: Causes, Symptoms, Risk Factors, Diagnosis and Treatmenthttps://www.prepladder.com/neet-pg-study-material/radiology/ureteral-carcinoma-causes-symptoms-risk-factors-diagnosis-and-treatment
It is uncertain what causes ureteral carcinoma. […] Ureteric cancer arises from genetic changes, or mutations, that affect the cells lining the inside of the ureter. The changes give the cells instructions to multiply swiftly and to survive longer than they would otherwise. This leads to the growth of an abnormal cell mass that may eventually clog the ureter or spread to other body areas. […] Some factors that could increase your risk of developing ureteral carcinoma are as follows: Age: The risk of developing ureteral cancer increases with age. Most people diagnosed with cancer are between the ages of 70 and 80. […] Previous history of bladder or renal cancer: A history of bladder or kidney cancer diagnosis increases the risk of urinary cancer. […] Cigarette use: Tobacco use increases the risk of ureteral cancer in addition to other cancers of the urinary tract, including bladder and kidney cancer.
- #9 Ureteral Cancer â Alaska Urologyhttps://www.alaskaurology.com/oncology/ureteral-cancer/
Its not clear what causes ureteral cancer. […] Doctors know this cancer begins when a cell in the inside lining of the ureter develops an error (mutation) in its DNA. The mutation tells the cell to multiply rapidly and to continue living when normal cells would die. The result is a growing mass of abnormal cells that can grow to block the ureter or spread to other areas of the body. […] Factors that can increase the risk of ureteral cancer include: […] Previous bladder or kidney cancer. People who have been diagnosed with bladder cancer or kidney cancer have an increased risk of ureteral cancer. […] Smoking. Smoking tobacco increases the risk of ureteral cancer, as well as other urinary tract cancers, including kidney cancer and bladder cancer.
- #10 Ureteral cancer | Health Library | Memorial Health Systemhttps://www.mhsystem.org/health-library/con-20314003/
Ureteral cancer is a growth of cells that starts in the ureters. […] Its not clear what causes ureteral cancer. Ureteral cancer starts as a growth of cells in a ureter. The ureters are tubes that connect the kidneys to the bladder. […] Ureteral cancer happens when cells in a ureter develop changes in their DNA. A cells DNA holds the instructions that tell the cell what to do. In healthy cells, the DNA tells the cells to grow and multiply at a set rate. The DNA also tells the cells to die at a set time. […] In cancer cells, the DNA changes give other instructions. The changes tell the cancer cells to grow and multiply quickly. Cancer cells can keep living when healthy cells would die. This causes too many cells. […] The cancer cells might form a mass called a tumor. The tumor can grow to invade and destroy healthy body tissue. In time, cancer cells can break away and spread to other parts of the body. When cancer spreads, its called metastatic cancer.
- #11 Malignancies of the renal pelvis and ureter – UpToDatehttps://www.uptodate.com/contents/malignancies-of-the-renal-pelvis-and-ureter
Malignancies of the renal pelvis and ureter […] Urothelial (formerly known as transitional cell) carcinomas of the upper urinary tract (UTUC), bladder, and urethra tend to be multifocal. This phenomenon is termed „field cancerization” and is thought to be caused by exposure of the urothelium to potential carcinogens that are either excreted in the urine or activated by hydrolyzing enzymes in the urine. […] Over 90 percent of tumors of the renal pelvis and ureter are of urothelial origin and are histologically identical to those originating in the bladder.
- #12 Ureteral Cancer and Ureteral Urothelial Carcinoma | Saint Johnâs Cancer Institute – Santa Monica, CAhttps://www.saintjohnscancer.org/urology/conditions/ureteral-cancer/
Ureteral cancer is uncommon and occurs mostly in older adults and in those who previously treated for bladder cancer. […] Ureteral cancer is closely related to bladder cancer. These are cancers that originate in the renal pelvis, calyx, or ureters that extend to the bladder and are referred to as descending tumors. 22-47% of the ureteral cancer cases will also develop bladder cancer at some time in the future. […] It is well known that tobacco increases risk for all types of cancer and carcinoma. Patients are two to three times at increased risk of developing urothelial carcinoma if they have exposure to aniline dyes. […] Patients with a syndrome called Lynch Syndrome also have an increased chance of developing upper tract urothelial carcinoma. Lynch Syndrome is an inherited cancer syndrome. We estimate that 21% of patients with upper tract urothelial carcinoma have a variant of Lynch Syndrome. […] Certain industries have a greater risk for developing UTUC.
- #13 Transitional cell carcinoma of the ureter and renal pelvis – PubMedhttps://pubmed.ncbi.nlm.nih.gov/12900009/
Transitional cell carcinoma (TCC) of ureter and renal pelvis is relatively uncommon. Smoking, occupational carcinogens, analgesic abuse, Balkan nephropathy are the risk factors. […] Cytogenetic studies revealed that the most frequent aberration is the partial or complete loss of chromosome 9.
- #14 „Ureteral Cancer: Causes, Symptoms, Diagnosis, and Treatment Options for a Rare and Aggressive Type of Cancer”https://www.doctorshubnepal.com/diseases-conditions/ureteral-cancer
The exact cause of ureteral cancer is not known, but it is believed to be related to genetic mutations and exposure to certain chemicals. […] The following factors may increase the risk of developing ureteral cancer: Family history: A family history of bladder cancer or other types of urinary tract cancer may increase the risk. […] Previous treatment for bladder cancer: People who have previously been treated for bladder cancer have a higher risk of developing ureteral cancer. […] Genetic mutations: Certain genetic mutations such as TP53 mutations may increase the risk. […] Exposure to certain chemicals: Exposure to certain chemicals such as pesticides or industrial chemicals may increase the risk.
- #15 Ureteral cancer – Wikipediahttps://en.wikipedia.org/wiki/Ureteral_cancer
Ureteral cancer becomes more likely in older adults, usually ages 70-80, who have previously been diagnosed with bladder cancer. […] The exact causes of ureteral cancer are not clear. However, it is known that patients with a history of bladder cancer are more likely to develop ureteral cancer because both cancers contain the same cell type. […] The risk of developing ureteral cancer increases with age. In addition to increasing age, previous bladder or kidney cancer diagnoses may also increase the risk of developing ureteral cancer. […] HNPCC (hereditary nonpolyposis colorectal cancer), also known as lynch syndrome, leads to an increased risk of developing ureteral cancer, as well as various other cancers such as colon cancer. […] Aside from genetic factors and predisposition to developing cancer, there are also a few environmental factors and lifestyle choices that may significantly escalate the chances of being diagnosed with ureteral cancer.
- #16https://www.amerikanhastanesi.org/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/ureteral-cancer
Ureteral cancer is uncommon. It occurs most often in older adults and in people who have previously been treated for bladder cancer. […] It’s not clear what causes ureteral cancer. Ureteral cancer happens when cells on the inside lining of the ureter develop changes (mutations) in their DNA. A cell’s DNA contains the instructions that tell a cell what to do. The changes tell the cells to multiply rapidly and to continue living beyond their typical life cycle. The result is a growing mass of abnormal cells that can grow to block the ureter or spread to other areas of the body. […] Factors that can increase the risk of ureteral cancer include: Increasing age. The risk of ureteral cancer increases with age. Most people diagnosed with this cancer are in their 70s and 80s. Previous bladder or kidney cancer. People who have been diagnosed with bladder cancer or kidney cancer have an increased risk of ureteral cancer. Smoking. Smoking tobacco increases the risk of ureteral cancer, as well as other urinary tract cancers, including kidney cancer and bladder cancer. Family history of cancer. Lynch syndrome, also called hereditary nonpolyposis colorectal cancer (HNPCC), increases the risk of colon cancer and other cancers, including ureteral cancer. If you have a strong family history of cancer, discuss it with your doctor. Together you may decide whether to consider genetic testing for Lynch syndrome and other inherited cancer syndromes.
- #17 Upper urinary tract urothelial cancer | Cancer Research UKhttps://www.cancerresearchuk.org/about-cancer/upper-urinary-tract-urothelial-cancer
Upper urinary tract urothelial cancer is a rare type of cancer of the lining of the kidney or ureter. […] Upper urinary tract urothelial cancer is more common in older people. It’s also diagnosed more often in men than women. […] Other factors that increase your risk of upper urinary tract urothelial cancer include: smoking, aristolochic acid – this is produced by aristolochia plants. It may be found in some herbal remedies and can cause kidney damage, Lynch syndrome this inherited syndrome increases the risk of several cancers, including urothelial cancer, if you have bladder cancer or have had it in the past.
- #18 Upper Tract Urothelial Cancer – UF Healthhttps://ufhealth.org/conditions-and-treatments/upper-tract-urothelial-cancer
UTUCs are relatively uncommon and account for only 5 percent to 10 percent of urinary tract cancers. These cancers develop primarily in people older than 70. Men are affected twice as frequently as women. […] Smoking is one of the largest adjustable risk factors for developing UTUC. The risk increases with both the amount and duration of smoking and appears to decrease over time with smoking cessation. […] Patients with a history of bladder cancer are at increased risk of developing UTUC. […] Chronic inflammation from recurrent urinary tract infections or kidney stones can increase the risk of developing UTUC. […] Abuse of phenacetin (no longer available) is associated with an increased risk of developing UTUC. […] Exposure to cyclophosphamide or ifosfamide appears to increase the risk of developing UTUC.
- #19 The Etiology of Bladder Cancer – Urologic Cancers – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK585966/
Urothelial cancer of the bladder, known as bladder cancer, is one of the most common cancers in the world. The incidence is rising steadily particularly in developed nations where tobacco smoking is prevalent. […] The incidence of carcinoma of bladder have been rising, especially in Europe and North America, largely due to tobacco smoking. […] The most significant modifiable risk factor for bladder cancers is tobacco smoking. Smoking has been shown to increase the risk of developing bladder cancer by up to four times, with mortality from bladder cancer due to smoking is only second to lung cancer due to smoking. […] Another important modifiable risk factor for bladder cancer is exposure to hazardous environmental and/or occupational compounds found in dye, paint, rubber, petroleum, and metal industries.
- #20 Urothelial Tumors of the Renal Pelvis and Ureters: Practice Essentials, Epidemiology, Etiologyhttps://emedicine.medscape.com/article/452449-overview
Tobacco smoking is the factor most strongly associated with upper tract urothelial carcinoma (UTUC) and increases the risk more than 3-fold. Estimates point to smoking as the cause of 70% of UTUC in men and 40% in women. […] Drinking coffee slightly increases the risk of UTUC; this risk factor is typically observed in people who consume more than seven cups of coffee per day. […] Analgesic abuse is also a risk factor for UTUC. It is independent from and synergistic with renal papillary necrosis. Long-term exposure to analgesics, notably phenacetin, induces a nephropathy that raises the risk of UTUC to as high as 70%. […] Occupational exposure to agents used in the petrochemical, plastic, and tar industries has been linked to an increased risk of UTUC. […] Chronic infections, irritation, and calculi may also predispose to squamous cell carcinoma and, less commonly, adenocarcinoma of the upper urinary tract.
- #21 Risks for renal pelvis and ureter cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/risks
Certain behaviours, substances or conditions can affect your risk, or chance, of developing cancer. Some things increase your risk and some things decrease it. Most cancers are the result of many risks. But sometimes cancer develops in people who don’t have any risks. […] Smoking tobacco is the main risk for renal pelvis or ureter cancer. […] The following can increase your risk for renal pelvis or ureter cancer. There are things you can do to lower your risk and help protect you from developing cancer. […] Smoking tobacco increases your risk for renal pelvis or ureter cancer. The more you smoke and the longer you smoke, the greater your risk. After you quit smoking, the risk decreases over time. […] People who took 3 or more phenacetin pills a day over several years have a higher risk for renal pelvis or ureter cancer.
- #22 Urothelial Tumors of the Renal Pelvis and Ureters: Practice Essentials, Epidemiology, Etiologyhttps://emedicine.medscape.com/article/452449-overview
Tobacco smoking is the factor most strongly associated with upper tract urothelial carcinoma (UTUC) and increases the risk more than 3-fold. Estimates point to smoking as the cause of 70% of UTUC in men and 40% in women. […] Drinking coffee slightly increases the risk of UTUC; this risk factor is typically observed in people who consume more than seven cups of coffee per day. […] Analgesic abuse is also a risk factor for UTUC. It is independent from and synergistic with renal papillary necrosis. Long-term exposure to analgesics, notably phenacetin, induces a nephropathy that raises the risk of UTUC to as high as 70%. […] Occupational exposure to agents used in the petrochemical, plastic, and tar industries has been linked to an increased risk of UTUC. […] Chronic infections, irritation, and calculi may also predispose to squamous cell carcinoma and, less commonly, adenocarcinoma of the upper urinary tract.
- #23 Bladder cancer – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/bladder-cancer/symptoms-causes/syc-20356104
Bladder cancer develops when cells in the bladder begin to grow abnormally, forming a tumor in the bladder. […] Bladder cancer begins when cells in the bladder develop changes (mutations) in their DNA. A cell’s DNA contains instructions that tell the cell what to do. The changes tell the cell to multiply rapidly and to go on living when healthy cells would die. The abnormal cells form a tumor that can invade and destroy normal body tissue. In time, the abnormal cells can break away and spread (metastasize) through the body. […] Factors that may increase bladder cancer risk include: Smoking. Smoking cigarettes, cigars or pipes may increase the risk of bladder cancer by causing harmful chemicals to accumulate in the urine. When you smoke, your body processes the chemicals in the smoke and excretes some of them in your urine. These harmful chemicals may damage the lining of your bladder, which can increase your risk of cancer.
- #24 Risks for renal pelvis and ureter cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/risks
Certain behaviours, substances or conditions can affect your risk, or chance, of developing cancer. Some things increase your risk and some things decrease it. Most cancers are the result of many risks. But sometimes cancer develops in people who don’t have any risks. […] Smoking tobacco is the main risk for renal pelvis or ureter cancer. […] The following can increase your risk for renal pelvis or ureter cancer. There are things you can do to lower your risk and help protect you from developing cancer. […] Smoking tobacco increases your risk for renal pelvis or ureter cancer. The more you smoke and the longer you smoke, the greater your risk. After you quit smoking, the risk decreases over time. […] People who took 3 or more phenacetin pills a day over several years have a higher risk for renal pelvis or ureter cancer.
- #25 Risks for renal pelvis and ureter cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/risks
Certain behaviours, substances or conditions can affect your risk, or chance, of developing cancer. Some things increase your risk and some things decrease it. Most cancers are the result of many risks. But sometimes cancer develops in people who don’t have any risks. […] Smoking tobacco is the main risk for renal pelvis or ureter cancer. […] The following can increase your risk for renal pelvis or ureter cancer. There are things you can do to lower your risk and help protect you from developing cancer. […] Smoking tobacco increases your risk for renal pelvis or ureter cancer. The more you smoke and the longer you smoke, the greater your risk. After you quit smoking, the risk decreases over time. […] People who took 3 or more phenacetin pills a day over several years have a higher risk for renal pelvis or ureter cancer.
- #26 Renal pelvis or ureter cancer Information | Mount Sinai – New Yorkhttps://www.mountsinai.org/health-library/diseases-conditions/renal-pelvis-or-ureter-cancer
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 exact causes of this cancer are not known. Long-term (chronic) irritation of the kidney from harmful substances removed in the urine may be a factor. This irritation may be caused by: […] Kidney damage from medicines, especially ones for pain (analgesic nephropathy) […] Exposure to certain dyes and chemicals used to manufacture leather goods, textiles, plastics, and rubber […] Smoking […] People who have had bladder cancer are also at risk.
- #27 Ureteral cancer | UM Health-Sparrowhttps://www.uofmhealthsparrow.org/departments-conditions/conditions/ureteral-cancer
Ureteral cancer is not common. When it happens, it occurs most often in older adults and in people who have had bladder cancer. […] It’s not clear what causes ureteral cancer. Ureteral cancer starts as a growth of cells in a ureter. Ureteral cancer happens when cells in a ureter develop changes in their DNA. A cell’s DNA holds the instructions that tell the cell what to do. In healthy cells, the DNA tells the cells to grow and multiply at a set rate. The DNA also tells the cells to die at a set time. […] Factors that can increase the risk of ureteral cancer include: Increasing age. The risk of ureteral cancer goes up with age. Most people diagnosed with this cancer are in their 70s and 80s. Previous bladder or kidney cancer. People who have been diagnosed with bladder cancer or kidney cancer have a higher risk of ureteral cancer. Smoking tobacco. Smoking tobacco raises the risk of ureteral cancer. It also raises the risk of other urinary tract cancers, including kidney cancer and bladder cancer. Exposure to certain chemicals. Working with certain chemicals is linked to an increased risk of ureteral cancer. Family history of cancer. If you have a strong family history of cancer, discuss it with your healthcare professional. Together you may decide whether to consider genetic testing for inherited cancer syndromes such as Lynch syndrome. Lynch syndrome raises the risk of colon cancer and other cancers, including ureteral cancer.
- #28 Ureteral Cancer and Ureteral Urothelial Carcinoma | Saint Johnâs Cancer Institute – Santa Monica, CAhttps://www.saintjohnscancer.org/urology/conditions/ureteral-cancer/
Ureteral cancer is uncommon and occurs mostly in older adults and in those who previously treated for bladder cancer. […] Ureteral cancer is closely related to bladder cancer. These are cancers that originate in the renal pelvis, calyx, or ureters that extend to the bladder and are referred to as descending tumors. 22-47% of the ureteral cancer cases will also develop bladder cancer at some time in the future. […] It is well known that tobacco increases risk for all types of cancer and carcinoma. Patients are two to three times at increased risk of developing urothelial carcinoma if they have exposure to aniline dyes. […] Patients with a syndrome called Lynch Syndrome also have an increased chance of developing upper tract urothelial carcinoma. Lynch Syndrome is an inherited cancer syndrome. We estimate that 21% of patients with upper tract urothelial carcinoma have a variant of Lynch Syndrome. […] Certain industries have a greater risk for developing UTUC.
- #29 Bladder and Ureteral Cancerhttps://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. […] Bladder/ureteral cancer arises in the cells that line these organs. The disease appears to be caused by carcinogens excreted in the urine. Inhaled tobacco is the most common source of these carcinogens, but occupational exposure to certain industrial chemicals can also play a role. In addition, there may be a link between vitamin D deficiency and incidence of bladder cancer.
- #30 Ureter Cancer | UC Irvine Health | Department of Urologyhttps://www.urology.uci.edu/urological_cancers_ureter_cancer.shtml
Ureteral cancer is the abnormal growth of cells that make up the inside of the tube that aids movement of urine from the kidney to the bladder. […] It has not been clear to doctors what causes ureteral cancer. The cells lining the ureter undergo a mutation that causes the abnormal growth of cells. Patients who have been diagnosed with bladder cancer are at a higher risk of being diagnosed with ureteral cancer. This is likely because the lining cells of the bladder and the ureter are of the same type. As a result, the cells tend to block the ureter or even spread to other body parts.
- #31 Renal pelvis or ureter cancer Information | Mount Sinai – New Yorkhttps://www.mountsinai.org/health-library/diseases-conditions/renal-pelvis-or-ureter-cancer
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 exact causes of this cancer are not known. Long-term (chronic) irritation of the kidney from harmful substances removed in the urine may be a factor. This irritation may be caused by: […] Kidney damage from medicines, especially ones for pain (analgesic nephropathy) […] Exposure to certain dyes and chemicals used to manufacture leather goods, textiles, plastics, and rubber […] Smoking […] People who have had bladder cancer are also at risk.
- #32 Bladder cancer – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/bladder-cancer/symptoms-causes/syc-20356104
Increasing age. Bladder cancer risk increases as you age. Though it can occur at any age, most people diagnosed with bladder cancer are older than 55. […] Being male. Men are more likely to develop bladder cancer than women are. […] Exposure to certain chemicals. Your kidneys play a key role in filtering harmful chemicals from your bloodstream and moving them into your bladder. Because of this, it’s thought that being around certain chemicals may increase the risk of bladder cancer. Chemicals linked to bladder cancer risk include arsenic and chemicals used in the manufacture of dyes, rubber, leather, textiles and paint products. […] Previous cancer treatment. Treatment with the anti-cancer drug cyclophosphamide increases the risk of bladder cancer. People who received radiation treatments aimed at the pelvis for a previous cancer have a higher risk of developing bladder cancer.
- #33 Transitional Cell Cancer (Kidney/Ureter) Treatment – NCIhttps://www.cancer.gov/types/kidney/patient/transitional-cell-treatment-pdq
Transitional cell cancer of the renal pelvis and ureter is a type of cancer that forms in the transitional cells of the renal pelvis and ureter. […] A personal history of bladder cancer and smoking can increase the risk of transitional cell cancer of the renal pelvis and ureter. […] Transitional cell cancer of the renal pelvis and ureter is caused by certain changes to the way transitional cells in the renal pelvis and ureters function, especially how they grow and divide into new cells. There are many risk factors for transitional cell cancer of the renal pelvis and ureter, but many do not directly cause cancer. Instead, they increase the chance of DNA damage in cells that may lead to cancer. […] Risk factors for transitional cell cancer of the renal pelvis and ureter include: having a personal history of bladder cancer, smoking cigarettes, taking a lot of certain pain medicines, such as phenacetin, being exposed to certain dyes and chemicals used in making leather goods, textiles, plastics, and rubber. […] Having one or more of these risk factors does not mean that you will get transitional cell cancer of the renal pelvis and ureter. Many people with risk factors never develop this type of cancer, while others with no known risk factors do.
- #34 Ureter Cancer Treatment Durban | Ureteral Cancerhttps://westvilleurology.co.za/urological-services/uro-oncology/ureter-cancer/
The exact cause of ureter cancer is unclear, but some factors may potentially increase the risk of developing this condition: […] Smoking: The use of tobacco is a significant risk factor for ureter cancer. […] Exposure to certain chemicals: Long-term exposure to chemicals such as aromatic amines, which are found in dyes, plastics, and other industrial products, may increase the risk. […] Chronic irritation: Conditions that cause long-term irritation or inflammation of the urinary tract, such as kidney stones or urinary tract infections, may play a role in the development of ureter cancer. […] Age and gender: Ureter cancer is frequently observed in individuals aged 60 and above, with a higher likelihood of occurrence in men compared to women. […] Given the uncertain aetiology, preventing ureter cancer can pose challenges. Nevertheless, adopting preventive measures like quitting smoking and minimising exposure to harmful chemicals can potentially reduce the associated risk factors.
- #35 Ureteral Cancer and Ureteral Urothelial Carcinoma | Saint Johnâs Cancer Institute – Santa Monica, CAhttps://www.saintjohnscancer.org/urology/conditions/ureteral-cancer/
Ureteral cancer is uncommon and occurs mostly in older adults and in those who previously treated for bladder cancer. […] Ureteral cancer is closely related to bladder cancer. These are cancers that originate in the renal pelvis, calyx, or ureters that extend to the bladder and are referred to as descending tumors. 22-47% of the ureteral cancer cases will also develop bladder cancer at some time in the future. […] It is well known that tobacco increases risk for all types of cancer and carcinoma. Patients are two to three times at increased risk of developing urothelial carcinoma if they have exposure to aniline dyes. […] Patients with a syndrome called Lynch Syndrome also have an increased chance of developing upper tract urothelial carcinoma. Lynch Syndrome is an inherited cancer syndrome. We estimate that 21% of patients with upper tract urothelial carcinoma have a variant of Lynch Syndrome. […] Certain industries have a greater risk for developing UTUC.
- #36 Urothelial Tumors of the Renal Pelvis and Ureters: Practice Essentials, Epidemiology, Etiologyhttps://emedicine.medscape.com/article/452449-overview
Cyclophosphamide has been linked to the development of urothelial tumors. More specifically, a breakdown metabolite called acrolein is thought to be the causative agent. […] UTUC is associated with Balkan nephropathy, which is a degenerative interstitial nephritis linked to the consumption of aristolochic acid (contained in some plants in the Balkans). […] Finally, heredity can play a part in the development of urothelial carcinoma. Urothelial carcinoma is associated with Lynch syndrome type II (hereditary nonpolyposis colorectal carcinoma), which is a syndrome characterized by an early onset of proximal colonic nonpolyposis tumors, numerous synchronous and metachronous colonic tumors, and extracolonic tumors.
- #37 Ureteral Cancer and Ureteral Urothelial Carcinoma | Saint Johnâs Cancer Institute – Santa Monica, CAhttps://www.saintjohnscancer.org/urology/conditions/ureteral-cancer/
Ureteral cancer is uncommon and occurs mostly in older adults and in those who previously treated for bladder cancer. […] Ureteral cancer is closely related to bladder cancer. These are cancers that originate in the renal pelvis, calyx, or ureters that extend to the bladder and are referred to as descending tumors. 22-47% of the ureteral cancer cases will also develop bladder cancer at some time in the future. […] It is well known that tobacco increases risk for all types of cancer and carcinoma. Patients are two to three times at increased risk of developing urothelial carcinoma if they have exposure to aniline dyes. […] Patients with a syndrome called Lynch Syndrome also have an increased chance of developing upper tract urothelial carcinoma. Lynch Syndrome is an inherited cancer syndrome. We estimate that 21% of patients with upper tract urothelial carcinoma have a variant of Lynch Syndrome. […] Certain industries have a greater risk for developing UTUC.
- #38 Urothelial Tumors of the Renal Pelvis and Ureters: Practice Essentials, Epidemiology, Etiologyhttps://emedicine.medscape.com/article/452449-overview
Cyclophosphamide has been linked to the development of urothelial tumors. More specifically, a breakdown metabolite called acrolein is thought to be the causative agent. […] UTUC is associated with Balkan nephropathy, which is a degenerative interstitial nephritis linked to the consumption of aristolochic acid (contained in some plants in the Balkans). […] Finally, heredity can play a part in the development of urothelial carcinoma. Urothelial carcinoma is associated with Lynch syndrome type II (hereditary nonpolyposis colorectal carcinoma), which is a syndrome characterized by an early onset of proximal colonic nonpolyposis tumors, numerous synchronous and metachronous colonic tumors, and extracolonic tumors.
- #39 Risks for renal pelvis and ureter cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/risks
People who take herbal products with aristolochic acids have a higher risk for renal pelvis or ureter cancer, as well as greater risk for kidney damage. […] People with BEN have a higher risk of developing cancer of the renal pelvis or ureter. […] People who have a lot of kidney stones or kidney infections have a higher risk of developing squamous cell carcinoma, which is usually rare, in the renal pelvis or ureter. […] Type B increases the risk for several cancers, including colorectal cancer, other cancers of the digestive system and cancers of the urinary tract, such as renal pelvis or ureter cancer. […] People who received radiation therapy to the abdomen or pelvis have a higher risk for renal pelvis or ureter cancer. People who are exposed to radiation at work or who have survived atomic bombs or nuclear accidents also have a higher risk for renal pelvis or ureter cancer.
- #40 Urothelial Tumors of the Renal Pelvis and Ureters: Practice Essentials, Epidemiology, Etiologyhttps://emedicine.medscape.com/article/452449-overview
Tobacco smoking is the factor most strongly associated with upper tract urothelial carcinoma (UTUC) and increases the risk more than 3-fold. Estimates point to smoking as the cause of 70% of UTUC in men and 40% in women. […] Drinking coffee slightly increases the risk of UTUC; this risk factor is typically observed in people who consume more than seven cups of coffee per day. […] Analgesic abuse is also a risk factor for UTUC. It is independent from and synergistic with renal papillary necrosis. Long-term exposure to analgesics, notably phenacetin, induces a nephropathy that raises the risk of UTUC to as high as 70%. […] Occupational exposure to agents used in the petrochemical, plastic, and tar industries has been linked to an increased risk of UTUC. […] Chronic infections, irritation, and calculi may also predispose to squamous cell carcinoma and, less commonly, adenocarcinoma of the upper urinary tract.
- #41 Ureter Cancer Treatment Durban | Ureteral Cancerhttps://westvilleurology.co.za/urological-services/uro-oncology/ureter-cancer/
The exact cause of ureter cancer is unclear, but some factors may potentially increase the risk of developing this condition: […] Smoking: The use of tobacco is a significant risk factor for ureter cancer. […] Exposure to certain chemicals: Long-term exposure to chemicals such as aromatic amines, which are found in dyes, plastics, and other industrial products, may increase the risk. […] Chronic irritation: Conditions that cause long-term irritation or inflammation of the urinary tract, such as kidney stones or urinary tract infections, may play a role in the development of ureter cancer. […] Age and gender: Ureter cancer is frequently observed in individuals aged 60 and above, with a higher likelihood of occurrence in men compared to women. […] Given the uncertain aetiology, preventing ureter cancer can pose challenges. Nevertheless, adopting preventive measures like quitting smoking and minimising exposure to harmful chemicals can potentially reduce the associated risk factors.
- #42 Renal pelvis or ureter cancer Information | Mount Sinai – New Yorkhttps://www.mountsinai.org/health-library/diseases-conditions/renal-pelvis-or-ureter-cancer
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 exact causes of this cancer are not known. Long-term (chronic) irritation of the kidney from harmful substances removed in the urine may be a factor. This irritation may be caused by: […] Kidney damage from medicines, especially ones for pain (analgesic nephropathy) […] Exposure to certain dyes and chemicals used to manufacture leather goods, textiles, plastics, and rubber […] Smoking […] People who have had bladder cancer are also at risk.
- #43 Risks for renal pelvis and ureter cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/risks
Certain behaviours, substances or conditions can affect your risk, or chance, of developing cancer. Some things increase your risk and some things decrease it. Most cancers are the result of many risks. But sometimes cancer develops in people who don’t have any risks. […] Smoking tobacco is the main risk for renal pelvis or ureter cancer. […] The following can increase your risk for renal pelvis or ureter cancer. There are things you can do to lower your risk and help protect you from developing cancer. […] Smoking tobacco increases your risk for renal pelvis or ureter cancer. The more you smoke and the longer you smoke, the greater your risk. After you quit smoking, the risk decreases over time. […] People who took 3 or more phenacetin pills a day over several years have a higher risk for renal pelvis or ureter cancer.
- #44 Urothelial Tumors of the Renal Pelvis and Ureters: Practice Essentials, Epidemiology, Etiologyhttps://emedicine.medscape.com/article/452449-overview
Tobacco smoking is the factor most strongly associated with upper tract urothelial carcinoma (UTUC) and increases the risk more than 3-fold. Estimates point to smoking as the cause of 70% of UTUC in men and 40% in women. […] Drinking coffee slightly increases the risk of UTUC; this risk factor is typically observed in people who consume more than seven cups of coffee per day. […] Analgesic abuse is also a risk factor for UTUC. It is independent from and synergistic with renal papillary necrosis. Long-term exposure to analgesics, notably phenacetin, induces a nephropathy that raises the risk of UTUC to as high as 70%. […] Occupational exposure to agents used in the petrochemical, plastic, and tar industries has been linked to an increased risk of UTUC. […] Chronic infections, irritation, and calculi may also predispose to squamous cell carcinoma and, less commonly, adenocarcinoma of the upper urinary tract.
- #45 Transitional Cell Cancer of the Renal Pelvis and Ureter > Fact Sheets > Yale Medicinehttps://www.yalemedicine.org/conditions/transitional-cell-cancer-of-the-renal-pelvis-and-ureter
Transitional cell cancer of the renal pelvis and ureter is a rare urinary tract cancer that typically affects adults ages 65 and older. […] Doctors dont yet know the exact cause of transitional cell cancer of the renal pelvis and ureter. Though genetics seem to be a factor, it also appears that environmental factors, including smoking and exposure to certain chemicals, raise risk as well. […] Kidney damage caused by the painkiller phenacetin is a risk factor for transitional cell cancer, but phenacetin been off the market since the late 1980s and was not frequently used in the U.S. No other painkillers have been associated with transitional cell cancer. […] Additionally, risk increases among people who: Are smokers
- #46 Upper urinary tract urothelial cancer | Cancer Research UKhttps://www.cancerresearchuk.org/about-cancer/upper-urinary-tract-urothelial-cancer
Upper urinary tract urothelial cancer is a rare type of cancer of the lining of the kidney or ureter. […] Upper urinary tract urothelial cancer is more common in older people. It’s also diagnosed more often in men than women. […] Other factors that increase your risk of upper urinary tract urothelial cancer include: smoking, aristolochic acid – this is produced by aristolochia plants. It may be found in some herbal remedies and can cause kidney damage, Lynch syndrome this inherited syndrome increases the risk of several cancers, including urothelial cancer, if you have bladder cancer or have had it in the past.
- #47 Risks for renal pelvis and ureter cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/risks
People who take herbal products with aristolochic acids have a higher risk for renal pelvis or ureter cancer, as well as greater risk for kidney damage. […] People with BEN have a higher risk of developing cancer of the renal pelvis or ureter. […] People who have a lot of kidney stones or kidney infections have a higher risk of developing squamous cell carcinoma, which is usually rare, in the renal pelvis or ureter. […] Type B increases the risk for several cancers, including colorectal cancer, other cancers of the digestive system and cancers of the urinary tract, such as renal pelvis or ureter cancer. […] People who received radiation therapy to the abdomen or pelvis have a higher risk for renal pelvis or ureter cancer. People who are exposed to radiation at work or who have survived atomic bombs or nuclear accidents also have a higher risk for renal pelvis or ureter cancer.
- #48 Urothelial Tumors of the Renal Pelvis and Ureters: Practice Essentials, Epidemiology, Etiologyhttps://emedicine.medscape.com/article/452449-overview
Cyclophosphamide has been linked to the development of urothelial tumors. More specifically, a breakdown metabolite called acrolein is thought to be the causative agent. […] UTUC is associated with Balkan nephropathy, which is a degenerative interstitial nephritis linked to the consumption of aristolochic acid (contained in some plants in the Balkans). […] Finally, heredity can play a part in the development of urothelial carcinoma. Urothelial carcinoma is associated with Lynch syndrome type II (hereditary nonpolyposis colorectal carcinoma), which is a syndrome characterized by an early onset of proximal colonic nonpolyposis tumors, numerous synchronous and metachronous colonic tumors, and extracolonic tumors.
- #49 Upper Tract Urothelial Cancer – UF Healthhttps://ufhealth.org/conditions-and-treatments/upper-tract-urothelial-cancer
UTUCs are relatively uncommon and account for only 5 percent to 10 percent of urinary tract cancers. These cancers develop primarily in people older than 70. Men are affected twice as frequently as women. […] Smoking is one of the largest adjustable risk factors for developing UTUC. The risk increases with both the amount and duration of smoking and appears to decrease over time with smoking cessation. […] Patients with a history of bladder cancer are at increased risk of developing UTUC. […] Chronic inflammation from recurrent urinary tract infections or kidney stones can increase the risk of developing UTUC. […] Abuse of phenacetin (no longer available) is associated with an increased risk of developing UTUC. […] Exposure to cyclophosphamide or ifosfamide appears to increase the risk of developing UTUC.
- #50 Urothelial Tumors of the Renal Pelvis and Ureters: Practice Essentials, Epidemiology, Etiologyhttps://emedicine.medscape.com/article/452449-overview
Cyclophosphamide has been linked to the development of urothelial tumors. More specifically, a breakdown metabolite called acrolein is thought to be the causative agent. […] UTUC is associated with Balkan nephropathy, which is a degenerative interstitial nephritis linked to the consumption of aristolochic acid (contained in some plants in the Balkans). […] Finally, heredity can play a part in the development of urothelial carcinoma. Urothelial carcinoma is associated with Lynch syndrome type II (hereditary nonpolyposis colorectal carcinoma), which is a syndrome characterized by an early onset of proximal colonic nonpolyposis tumors, numerous synchronous and metachronous colonic tumors, and extracolonic tumors.
- #51 Risks for renal pelvis and ureter cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/risks
People who take herbal products with aristolochic acids have a higher risk for renal pelvis or ureter cancer, as well as greater risk for kidney damage. […] People with BEN have a higher risk of developing cancer of the renal pelvis or ureter. […] People who have a lot of kidney stones or kidney infections have a higher risk of developing squamous cell carcinoma, which is usually rare, in the renal pelvis or ureter. […] Type B increases the risk for several cancers, including colorectal cancer, other cancers of the digestive system and cancers of the urinary tract, such as renal pelvis or ureter cancer. […] People who received radiation therapy to the abdomen or pelvis have a higher risk for renal pelvis or ureter cancer. People who are exposed to radiation at work or who have survived atomic bombs or nuclear accidents also have a higher risk for renal pelvis or ureter cancer.
- #52 Upper Tract Urothelial Cancer (UTUC) | Cancer Councilhttps://www.cancer.org.au/cancer-information/types-of-cancer/rare-cancers/upper-tract-urothelial-cancer
Upper tract urothelial cancer (UTUC) is not common. […] The cause of UTUC is not known in most cases. However, there are several risk factors: smoking tobacco, a history of long-term inflammation of the ureter or kidney, exposure to certain chemicals over time, such as those used to make plastics, textiles, rubber, paint and dyes, exposure to arsenic, prior chemotherapy or radiation therapy for another cancer, long-term use of large quantities of painkillers, family history of bladder cancer, having Lynch syndrome or Balkan nephropathy. […] As the causes of UTUC is not known in most cases it is not possible to prevent the disease. However, quitting smoking, limiting exposure to certain chemicals and not taking large quantities of painkillers can help reduce your risk of developing UTUC.
- #53 Urothelial Tumors of the Renal Pelvis and Ureters: Practice Essentials, Epidemiology, Etiologyhttps://emedicine.medscape.com/article/452449-overview
Tobacco smoking is the factor most strongly associated with upper tract urothelial carcinoma (UTUC) and increases the risk more than 3-fold. Estimates point to smoking as the cause of 70% of UTUC in men and 40% in women. […] Drinking coffee slightly increases the risk of UTUC; this risk factor is typically observed in people who consume more than seven cups of coffee per day. […] Analgesic abuse is also a risk factor for UTUC. It is independent from and synergistic with renal papillary necrosis. Long-term exposure to analgesics, notably phenacetin, induces a nephropathy that raises the risk of UTUC to as high as 70%. […] Occupational exposure to agents used in the petrochemical, plastic, and tar industries has been linked to an increased risk of UTUC. […] Chronic infections, irritation, and calculi may also predispose to squamous cell carcinoma and, less commonly, adenocarcinoma of the upper urinary tract.
- #54 Risks for renal pelvis and ureter cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/risks
People who take herbal products with aristolochic acids have a higher risk for renal pelvis or ureter cancer, as well as greater risk for kidney damage. […] People with BEN have a higher risk of developing cancer of the renal pelvis or ureter. […] People who have a lot of kidney stones or kidney infections have a higher risk of developing squamous cell carcinoma, which is usually rare, in the renal pelvis or ureter. […] Type B increases the risk for several cancers, including colorectal cancer, other cancers of the digestive system and cancers of the urinary tract, such as renal pelvis or ureter cancer. […] People who received radiation therapy to the abdomen or pelvis have a higher risk for renal pelvis or ureter cancer. People who are exposed to radiation at work or who have survived atomic bombs or nuclear accidents also have a higher risk for renal pelvis or ureter cancer.
- #55 Bladder cancer – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/bladder-cancer/symptoms-causes/syc-20356104
Increasing age. Bladder cancer risk increases as you age. Though it can occur at any age, most people diagnosed with bladder cancer are older than 55. […] Being male. Men are more likely to develop bladder cancer than women are. […] Exposure to certain chemicals. Your kidneys play a key role in filtering harmful chemicals from your bloodstream and moving them into your bladder. Because of this, it’s thought that being around certain chemicals may increase the risk of bladder cancer. Chemicals linked to bladder cancer risk include arsenic and chemicals used in the manufacture of dyes, rubber, leather, textiles and paint products. […] Previous cancer treatment. Treatment with the anti-cancer drug cyclophosphamide increases the risk of bladder cancer. People who received radiation treatments aimed at the pelvis for a previous cancer have a higher risk of developing bladder cancer.
- #56 The Etiology of Bladder Cancer – Urologic Cancers – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK585966/
A less common but aggressive bladder cancer is SCC of bladder which is caused by Schistosomiasis haematobium. […] Obesity has been long associated with various forms of cancers including bladder cancers. One meta-analysis showed that obesity is an independent risk factor which increases the risk of bladder cancer by 10%. […] The modifiable risk factors in bladder cancers include tobacco smoking, occupational exposure to carcinogenic chemicals and obesity.
- #57 Urethral Cancer : Symptoms, Signs and Causes | HCGhttp://www.hcgoncology.com/types-of-cancers/urethral-cancer-symptoms-and-causes/
While rare, urethral caruncles, which are benign growths near the urethral opening, may be associated with chronic irritation and inflammation, potentially increasing the risk of cancer. […] Urethral diverticula, pouch-like structures in the urethral wall, may create an environment suitable for the development of urethral cancer. […] Long-term use of indwelling catheters, often necessary for certain medical conditions, may pose a risk for urethral cancer.
- #58 Bladder cancer – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/bladder-cancer/symptoms-causes/syc-20356104
Chronic bladder inflammation. Chronic or repeated urinary infections or inflammations (cystitis), such as might happen with long-term use of a urinary catheter, may increase the risk of a squamous cell bladder cancer. In some areas of the world, squamous cell carcinoma is linked to chronic bladder inflammation caused by the parasitic infection known as schistosomiasis. […] Personal or family history of cancer. If you’ve had bladder cancer, you’re more likely to get it again. If one of your blood relatives a parent, sibling or child has a history of bladder cancer, you may have an increased risk of the disease, although it’s rare for bladder cancer to run in families. A family history of Lynch syndrome, also known as hereditary nonpolyposis colorectal cancer (HNPCC), can increase the risk of cancer in the urinary system, as well as in the colon, uterus, ovaries and other organs.
- #59 Understanding Urethral Cancer: Causes, Symptoms, and Risk Factors – Desert Sky Urologyhttps://desertskyurology.com/blog/understanding-urethral-cancer-causes-symptoms-and-risk-factors/
Exposure to certain chemicals in the workplace or through environmental factors may play a role in the development of urethral cancer. Occupational exposure to substances like arsenic has been linked to an increased risk. […] Previous radiation therapy in the pelvic area for other medical conditions may elevate the risk of developing urethral cancer. […] While the exact cause remains uncertain, various risk factors, such as smoking, chronic infections, and chemical exposures, have been identified.
- #60 Ureteral Cancer and Ureteral Urothelial Carcinoma | Saint Johnâs Cancer Institute – Santa Monica, CAhttps://www.saintjohnscancer.org/urology/conditions/ureteral-cancer/
Ureteral cancer is uncommon and occurs mostly in older adults and in those who previously treated for bladder cancer. […] Ureteral cancer is closely related to bladder cancer. These are cancers that originate in the renal pelvis, calyx, or ureters that extend to the bladder and are referred to as descending tumors. 22-47% of the ureteral cancer cases will also develop bladder cancer at some time in the future. […] It is well known that tobacco increases risk for all types of cancer and carcinoma. Patients are two to three times at increased risk of developing urothelial carcinoma if they have exposure to aniline dyes. […] Patients with a syndrome called Lynch Syndrome also have an increased chance of developing upper tract urothelial carcinoma. Lynch Syndrome is an inherited cancer syndrome. We estimate that 21% of patients with upper tract urothelial carcinoma have a variant of Lynch Syndrome. […] Certain industries have a greater risk for developing UTUC.
- #61 Malignancies of the renal pelvis and ureter – UpToDatehttps://www.uptodate.com/contents/malignancies-of-the-renal-pelvis-and-ureter
Malignancies of the renal pelvis and ureter […] Urothelial (formerly known as transitional cell) carcinomas of the upper urinary tract (UTUC), bladder, and urethra tend to be multifocal. This phenomenon is termed „field cancerization” and is thought to be caused by exposure of the urothelium to potential carcinogens that are either excreted in the urine or activated by hydrolyzing enzymes in the urine. […] Over 90 percent of tumors of the renal pelvis and ureter are of urothelial origin and are histologically identical to those originating in the bladder.
- #62 Ureteral Cancer and Ureteral Urothelial Carcinoma | Saint Johnâs Cancer Institute – Santa Monica, CAhttps://www.saintjohnscancer.org/urology/conditions/ureteral-cancer/
Ureteral cancer is uncommon and occurs mostly in older adults and in those who previously treated for bladder cancer. […] Ureteral cancer is closely related to bladder cancer. These are cancers that originate in the renal pelvis, calyx, or ureters that extend to the bladder and are referred to as descending tumors. 22-47% of the ureteral cancer cases will also develop bladder cancer at some time in the future. […] It is well known that tobacco increases risk for all types of cancer and carcinoma. Patients are two to three times at increased risk of developing urothelial carcinoma if they have exposure to aniline dyes. […] Patients with a syndrome called Lynch Syndrome also have an increased chance of developing upper tract urothelial carcinoma. Lynch Syndrome is an inherited cancer syndrome. We estimate that 21% of patients with upper tract urothelial carcinoma have a variant of Lynch Syndrome. […] Certain industries have a greater risk for developing UTUC.
- #63 Ureteral Cancer and Ureteral Urothelial Carcinoma | Saint Johnâs Cancer Institute – Santa Monica, CAhttps://www.saintjohnscancer.org/urology/conditions/ureteral-cancer/
Ureteral cancer is uncommon and occurs mostly in older adults and in those who previously treated for bladder cancer. […] Ureteral cancer is closely related to bladder cancer. These are cancers that originate in the renal pelvis, calyx, or ureters that extend to the bladder and are referred to as descending tumors. 22-47% of the ureteral cancer cases will also develop bladder cancer at some time in the future. […] It is well known that tobacco increases risk for all types of cancer and carcinoma. Patients are two to three times at increased risk of developing urothelial carcinoma if they have exposure to aniline dyes. […] Patients with a syndrome called Lynch Syndrome also have an increased chance of developing upper tract urothelial carcinoma. Lynch Syndrome is an inherited cancer syndrome. We estimate that 21% of patients with upper tract urothelial carcinoma have a variant of Lynch Syndrome. […] Certain industries have a greater risk for developing UTUC.
- #64 Our Rates of Concurrent or Differential Development of Urothelial Carcinoma in the Renal Pelvis, Ureter, and Bladder: A Single-center Experience – Bulletin of Urooncologyhttps://uroonkolojibulteni.com/articles/doi/uob.galenos.2022.2022.5.3
As a result, UC can affect multifocal organs; therefore, close surveillance of patients diagnosed with upper or lower urinary tract disease UC and who are smokers is recommended at the time of diagnosis or especially during the first 3 years after diagnosis to prevent the formation of primary tumors in other regions.
- #65 Malignancies of the renal pelvis and ureter – UpToDatehttps://www.uptodate.com/contents/malignancies-of-the-renal-pelvis-and-ureter
Malignancies of the renal pelvis and ureter […] Urothelial (formerly known as transitional cell) carcinomas of the upper urinary tract (UTUC), bladder, and urethra tend to be multifocal. This phenomenon is termed „field cancerization” and is thought to be caused by exposure of the urothelium to potential carcinogens that are either excreted in the urine or activated by hydrolyzing enzymes in the urine. […] Over 90 percent of tumors of the renal pelvis and ureter are of urothelial origin and are histologically identical to those originating in the bladder.
- #66 Urothelial Tumors of the Renal Pelvis and Ureters: Practice Essentials, Epidemiology, Etiologyhttps://emedicine.medscape.com/article/452449-overview
Tobacco smoking is the factor most strongly associated with upper tract urothelial carcinoma (UTUC) and increases the risk more than 3-fold. Estimates point to smoking as the cause of 70% of UTUC in men and 40% in women. […] Drinking coffee slightly increases the risk of UTUC; this risk factor is typically observed in people who consume more than seven cups of coffee per day. […] Analgesic abuse is also a risk factor for UTUC. It is independent from and synergistic with renal papillary necrosis. Long-term exposure to analgesics, notably phenacetin, induces a nephropathy that raises the risk of UTUC to as high as 70%. […] Occupational exposure to agents used in the petrochemical, plastic, and tar industries has been linked to an increased risk of UTUC. […] Chronic infections, irritation, and calculi may also predispose to squamous cell carcinoma and, less commonly, adenocarcinoma of the upper urinary tract.
- #67 Urothelial Tumors of the Renal Pelvis and Ureters: Practice Essentials, Epidemiology, Etiologyhttps://emedicine.medscape.com/article/452449-overview
Tobacco smoking is the factor most strongly associated with upper tract urothelial carcinoma (UTUC) and increases the risk more than 3-fold. Estimates point to smoking as the cause of 70% of UTUC in men and 40% in women. […] Drinking coffee slightly increases the risk of UTUC; this risk factor is typically observed in people who consume more than seven cups of coffee per day. […] Analgesic abuse is also a risk factor for UTUC. It is independent from and synergistic with renal papillary necrosis. Long-term exposure to analgesics, notably phenacetin, induces a nephropathy that raises the risk of UTUC to as high as 70%. […] Occupational exposure to agents used in the petrochemical, plastic, and tar industries has been linked to an increased risk of UTUC. […] Chronic infections, irritation, and calculi may also predispose to squamous cell carcinoma and, less commonly, adenocarcinoma of the upper urinary tract.
- #68 Ureter Cancer | Baptist Healthhttps://www.baptisthealth.com/care-services/conditions-treatments/ureter-cancer
There are a number of genetic, lifestyle and environmental factors that can increase the risk of ureter cancer, including: […] Chronic kidney infections or stones: Squamous cell carcinoma (cancer that begins in squamous cells, which are thin, flat cells found in the tissue that forms the lining of the ureter) may develop in people who have chronic kidney infections or stones. […] Exposure to certain chemicals: Exposure to certain dyes and chemicals used in making textiles, plastics, rubber and leather goods can increase the risk of developing ureter cancer. […] People with the cancer syndrome known as Lynch syndrome are at higher risk of ureter cancer. Lynch Syndrome is also known as Hereditary Non-Polyposis Colorectal Cancer (HNPCC). […] Ureter cancer more frequently affects people with a history of bladder cancer. Some treatments for bladder cancer, such as radiation of the pelvis and some cancer drugs, can increase the risk of ureter cancer. […] Smoking is a known causes of urinary tract irritation that may lead to cancer.
- #69 The Etiology of Bladder Cancer – Urologic Cancers – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK585966/
A less common but aggressive bladder cancer is SCC of bladder which is caused by Schistosomiasis haematobium. […] Obesity has been long associated with various forms of cancers including bladder cancers. One meta-analysis showed that obesity is an independent risk factor which increases the risk of bladder cancer by 10%. […] The modifiable risk factors in bladder cancers include tobacco smoking, occupational exposure to carcinogenic chemicals and obesity.
- #70 Upper Tract Urothelial Cancer (UTUC) | Cancer Councilhttps://www.cancer.org.au/cancer-information/types-of-cancer/rare-cancers/upper-tract-urothelial-cancer
Upper tract urothelial cancer (UTUC) is not common. […] The cause of UTUC is not known in most cases. However, there are several risk factors: smoking tobacco, a history of long-term inflammation of the ureter or kidney, exposure to certain chemicals over time, such as those used to make plastics, textiles, rubber, paint and dyes, exposure to arsenic, prior chemotherapy or radiation therapy for another cancer, long-term use of large quantities of painkillers, family history of bladder cancer, having Lynch syndrome or Balkan nephropathy. […] As the causes of UTUC is not known in most cases it is not possible to prevent the disease. However, quitting smoking, limiting exposure to certain chemicals and not taking large quantities of painkillers can help reduce your risk of developing UTUC.
- #71 Upper Tract Urothelial Cancer (UTUC) | Cancer Councilhttps://www.cancer.org.au/cancer-information/types-of-cancer/rare-cancers/upper-tract-urothelial-cancer
Upper tract urothelial cancer (UTUC) is not common. […] The cause of UTUC is not known in most cases. However, there are several risk factors: smoking tobacco, a history of long-term inflammation of the ureter or kidney, exposure to certain chemicals over time, such as those used to make plastics, textiles, rubber, paint and dyes, exposure to arsenic, prior chemotherapy or radiation therapy for another cancer, long-term use of large quantities of painkillers, family history of bladder cancer, having Lynch syndrome or Balkan nephropathy. […] As the causes of UTUC is not known in most cases it is not possible to prevent the disease. However, quitting smoking, limiting exposure to certain chemicals and not taking large quantities of painkillers can help reduce your risk of developing UTUC.
- #72 Risks for renal pelvis and ureter cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/renal-pelvis-and-ureter/risks
Certain behaviours, substances or conditions can affect your risk, or chance, of developing cancer. Some things increase your risk and some things decrease it. Most cancers are the result of many risks. But sometimes cancer develops in people who don’t have any risks. […] Smoking tobacco is the main risk for renal pelvis or ureter cancer. […] The following can increase your risk for renal pelvis or ureter cancer. There are things you can do to lower your risk and help protect you from developing cancer. […] Smoking tobacco increases your risk for renal pelvis or ureter cancer. The more you smoke and the longer you smoke, the greater your risk. After you quit smoking, the risk decreases over time. […] People who took 3 or more phenacetin pills a day over several years have a higher risk for renal pelvis or ureter cancer.
- #73 Upper Tract Urothelial Cancer (UTUC) | Cancer Councilhttps://www.cancer.org.au/cancer-information/types-of-cancer/rare-cancers/upper-tract-urothelial-cancer
Upper tract urothelial cancer (UTUC) is not common. […] The cause of UTUC is not known in most cases. However, there are several risk factors: smoking tobacco, a history of long-term inflammation of the ureter or kidney, exposure to certain chemicals over time, such as those used to make plastics, textiles, rubber, paint and dyes, exposure to arsenic, prior chemotherapy or radiation therapy for another cancer, long-term use of large quantities of painkillers, family history of bladder cancer, having Lynch syndrome or Balkan nephropathy. […] As the causes of UTUC is not known in most cases it is not possible to prevent the disease. However, quitting smoking, limiting exposure to certain chemicals and not taking large quantities of painkillers can help reduce your risk of developing UTUC.
- #74 Ureter Cancer Treatment Durban | Ureteral Cancerhttps://westvilleurology.co.za/urological-services/uro-oncology/ureter-cancer/
The exact cause of ureter cancer is unclear, but some factors may potentially increase the risk of developing this condition: […] Smoking: The use of tobacco is a significant risk factor for ureter cancer. […] Exposure to certain chemicals: Long-term exposure to chemicals such as aromatic amines, which are found in dyes, plastics, and other industrial products, may increase the risk. […] Chronic irritation: Conditions that cause long-term irritation or inflammation of the urinary tract, such as kidney stones or urinary tract infections, may play a role in the development of ureter cancer. […] Age and gender: Ureter cancer is frequently observed in individuals aged 60 and above, with a higher likelihood of occurrence in men compared to women. […] Given the uncertain aetiology, preventing ureter cancer can pose challenges. Nevertheless, adopting preventive measures like quitting smoking and minimising exposure to harmful chemicals can potentially reduce the associated risk factors.
- #75 Upper Tract Urothelial Cancer (UTUC) | Cancer Councilhttps://www.cancer.org.au/cancer-information/types-of-cancer/rare-cancers/upper-tract-urothelial-cancer
Upper tract urothelial cancer (UTUC) is not common. […] The cause of UTUC is not known in most cases. However, there are several risk factors: smoking tobacco, a history of long-term inflammation of the ureter or kidney, exposure to certain chemicals over time, such as those used to make plastics, textiles, rubber, paint and dyes, exposure to arsenic, prior chemotherapy or radiation therapy for another cancer, long-term use of large quantities of painkillers, family history of bladder cancer, having Lynch syndrome or Balkan nephropathy. […] As the causes of UTUC is not known in most cases it is not possible to prevent the disease. However, quitting smoking, limiting exposure to certain chemicals and not taking large quantities of painkillers can help reduce your risk of developing UTUC.
- #76 Urethral cancer – USZhttps://www.usz.ch/en/disease/urethral-cancer/
Whether and to what extent these risk factors are involved in the development of urethral cancer has not yet been sufficiently scientifically proven. Researchers are still discussing what role these factors play in men and women. […] The causes of urethral cancer are still largely unknown. Therefore, you cannot really prevent this type of cancer. However, experts associate urethral cancer with frequent urethritis and repeated urinary tract infections. You should therefore always have these illnesses adequately treated.
- #77 Ureteral cancer | UM Health-Sparrowhttps://www.uofmhealthsparrow.org/departments-conditions/conditions/ureteral-cancer
Ureteral cancer is not common. When it happens, it occurs most often in older adults and in people who have had bladder cancer. […] It’s not clear what causes ureteral cancer. Ureteral cancer starts as a growth of cells in a ureter. Ureteral cancer happens when cells in a ureter develop changes in their DNA. A cell’s DNA holds the instructions that tell the cell what to do. In healthy cells, the DNA tells the cells to grow and multiply at a set rate. The DNA also tells the cells to die at a set time. […] Factors that can increase the risk of ureteral cancer include: Increasing age. The risk of ureteral cancer goes up with age. Most people diagnosed with this cancer are in their 70s and 80s. Previous bladder or kidney cancer. People who have been diagnosed with bladder cancer or kidney cancer have a higher risk of ureteral cancer. Smoking tobacco. Smoking tobacco raises the risk of ureteral cancer. It also raises the risk of other urinary tract cancers, including kidney cancer and bladder cancer. Exposure to certain chemicals. Working with certain chemicals is linked to an increased risk of ureteral cancer. Family history of cancer. If you have a strong family history of cancer, discuss it with your healthcare professional. Together you may decide whether to consider genetic testing for inherited cancer syndromes such as Lynch syndrome. Lynch syndrome raises the risk of colon cancer and other cancers, including ureteral cancer.
- #78 Our Rates of Concurrent or Differential Development of Urothelial Carcinoma in the Renal Pelvis, Ureter, and Bladder: A Single-center Experience – Bulletin of Urooncologyhttps://uroonkolojibulteni.com/articles/doi/uob.galenos.2022.2022.5.3
As a result, UC can affect multifocal organs; therefore, close surveillance of patients diagnosed with upper or lower urinary tract disease UC and who are smokers is recommended at the time of diagnosis or especially during the first 3 years after diagnosis to prevent the formation of primary tumors in other regions.
- #79 Ureteral Cancer Causes, Symptoms and Treatmenthttps://www.netmeds.com/health-library/post/ureteral-cancer-causes-symptoms-and-treatment
Ureteral cancer is more common in people previously diagnosed with bladder cancer or kidney cancer. […] The ultimate cause of ureteral cancer is yet unknown, but it usually occurs when there is a change or mutation in the DNA of the cells that line the ureter. […] Certain causative factors that increase the risk of ureteral cancer include age, gender, previous cancer conditions, smoking, genetics, exposure to chemicals, medications, and herbal formulations.
- #80 What is Ureteral Cancer?https://blog.dana-farber.org/insight/2021/12/what-is-ureteral-cancer/
Ureteral cancer is a type of cancer that grows in the ureter, or the two thin tubes that connect the kidneys to the bladder. It is uncommon compared with other cancers. […] The causes of ureteral cancer remain unclear, but there are some factors that may increase risk. Risk factors for ureter cancer include the following: Having a personal history of bladder cancer, Smoking cigarettes, Taking several certain pain medicines, such as phenacetin, Being exposed to certain dyes and chemicals used in making leather goods, textiles, plastics, and rubber, Inherited familial disorders, especially Lynch syndrome. […] Talk with your doctor if you think you may be at risk. Remember: Having a risk factor does not mean you will develop ureteral cancer.
- #81 Ureteral Cancer and Ureteral Urothelial Carcinoma | Saint Johnâs Cancer Institute – Santa Monica, CAhttps://www.saintjohnscancer.org/urology/conditions/ureteral-cancer/
Ureteral cancer is uncommon and occurs mostly in older adults and in those who previously treated for bladder cancer. […] Ureteral cancer is closely related to bladder cancer. These are cancers that originate in the renal pelvis, calyx, or ureters that extend to the bladder and are referred to as descending tumors. 22-47% of the ureteral cancer cases will also develop bladder cancer at some time in the future. […] It is well known that tobacco increases risk for all types of cancer and carcinoma. Patients are two to three times at increased risk of developing urothelial carcinoma if they have exposure to aniline dyes. […] Patients with a syndrome called Lynch Syndrome also have an increased chance of developing upper tract urothelial carcinoma. Lynch Syndrome is an inherited cancer syndrome. We estimate that 21% of patients with upper tract urothelial carcinoma have a variant of Lynch Syndrome. […] Certain industries have a greater risk for developing UTUC.
- #82 Ureteral cancer – Wikipediahttps://en.wikipedia.org/wiki/Ureteral_cancer
Ureteral cancer becomes more likely in older adults, usually ages 70-80, who have previously been diagnosed with bladder cancer. […] The exact causes of ureteral cancer are not clear. However, it is known that patients with a history of bladder cancer are more likely to develop ureteral cancer because both cancers contain the same cell type. […] The risk of developing ureteral cancer increases with age. In addition to increasing age, previous bladder or kidney cancer diagnoses may also increase the risk of developing ureteral cancer. […] HNPCC (hereditary nonpolyposis colorectal cancer), also known as lynch syndrome, leads to an increased risk of developing ureteral cancer, as well as various other cancers such as colon cancer. […] Aside from genetic factors and predisposition to developing cancer, there are also a few environmental factors and lifestyle choices that may significantly escalate the chances of being diagnosed with ureteral cancer.
- #83 Upper Tract Urothelial Cancer (UTUC) | Cancer Councilhttps://www.cancer.org.au/cancer-information/types-of-cancer/rare-cancers/upper-tract-urothelial-cancer
Upper tract urothelial cancer (UTUC) is not common. […] The cause of UTUC is not known in most cases. However, there are several risk factors: smoking tobacco, a history of long-term inflammation of the ureter or kidney, exposure to certain chemicals over time, such as those used to make plastics, textiles, rubber, paint and dyes, exposure to arsenic, prior chemotherapy or radiation therapy for another cancer, long-term use of large quantities of painkillers, family history of bladder cancer, having Lynch syndrome or Balkan nephropathy. […] As the causes of UTUC is not known in most cases it is not possible to prevent the disease. However, quitting smoking, limiting exposure to certain chemicals and not taking large quantities of painkillers can help reduce your risk of developing UTUC.