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Urothelkarzinom der Nieren und Harnleiter

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Die Urologie

Part of the book series: Springer Reference Medizin ((SRM))

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Zusammenfassung

Urothelkarzinome des oberen Harntraktes finden sich hauptsächlich bei älteren Patienten (medianes Alter 70 Jahre). Männer sind 3- bis 4-mal häufiger betroffen als Frauen. Risikofaktoren sind heute vor allem das Zigarettenrauchen, die Aristolochiasäure-Nephropathie, das Urothelkarzinom der Harnblase und das Lynch-Syndrom. Historisch spielen auch aromatische Amine und Phenacetin eine Rolle. Hämaturie gefolgt von Flankenschmerzen häufigsten Symptome bei der Diagnostik eines Urothelkarzinoms des oberen Harntraktes. Andere klinische Symptome wie palpable Raumforderungen oder stark hydronephrotisch veränderte Nieren sind äußerst selten. Asymptomatische Tumoren werden in 10–15 % der Fälle beobachtet. Die klinische Risikostratifikation ist schwierig. Die besten Ergebnisse erhält man bei Kombination aus: Biopsie, Grading, Tumorarchitektur, Zytologie, Hydronephrose, Multifokalität und Tumorgröße.

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Authors and Affiliations

  1. Klinik für Urologie, Landesklinikum Korneuburg, Wiener Ring 3-5, 2100, Korneuburg, Österreich

    Mesut Remzi

  2. Tübingen, Deutschland

    Christian Schwentner

  3. Universitätsklinik für Urologie, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich

    Shahrokh Shariat & Bernhard Grubmüller

Authors
  1. Mesut Remzi
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  2. Christian Schwentner
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  3. Shahrokh Shariat
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  4. Bernhard Grubmüller
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Corresponding author

Correspondence to Mesut Remzi .

Editor information

Editors and Affiliations

  1. Universitätsklinikum Mannheim, Klinik für Urologie, Mannheim, Baden-Württemberg, Germany

    Maurice Stephan Michel

  2. Klinik für Urologie, Universitätsklinik Mannheim, Mainz, Germany

    Joachim W. Thüroff

  3. Abt. für Urologie, Universitätsklinikum Salzburg, Salzburg, Austria

    Günther Janetschek

  4. Klinik und Poliklinik für Urologie, Univer Tech Univ Dresden, Dresden, Germany

    Manfred Wirth

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© 2016 Springer-Verlag Berlin Heidelberg

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Remzi, M., Schwentner, C., Shariat, S., Grubmüller, B. (2016). Urothelkarzinom der Nieren und Harnleiter. In: Michel, M., Thüroff, J., Janetschek, G., Wirth, M. (eds) Die Urologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-39940-4_69

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  • DOI: https://doi.org/10.1007/978-3-642-39940-4_69

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-39939-8

  • Online ISBN: 978-3-642-39940-4

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