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Imaging and staging of transitional cell carcinoma
American Journal of Roentgenology, 05/26/09
Vikram R et al. - In a review of imaging and staging of transitional cell carcinoma (TCC), it was concluded that diagnosis of upper tract TCC is heavily dependent on imaging. Understanding the appearances of upper tract TCC on the different imaging techniques used is important in the accurate interpretation of imaging studies. Newer techniques such as CT urography are now increasingly used instead of conventional excretory urography in the surveillance of the upper tract in pts with bladder cancer.
Methods- TCC of the upper urinary tract is a common malignancy affecting the genitourinary tract.
- It is commonly multifocal with a high incidence of recurrence requiring rigorous urothelial surveillance.
- This article discusses the epidemiology, pathologic characteristics, and patterns of tumor spread.
- It illustrates and discusses the role of imaging in the diagnosis, staging, and surveillance of TCC of the renal pelvis and the ureter.
- The hallmark of TCC is multiplicity and recurrence.
- Nearly 2–4% of pts with bladder cancer develop upper tract TCC, but 40% of pts with upper tract TCC develop bladder cancer.
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