New Insights into Upper Tract Urothelial Carcinoma: Lessons Learned from the ROBUUST Collaborative Study.

Authors

• Arianna Biasatti
• Gabriele Bignante
• Francesco Ditonno
• Alessandro Veccia
• Riccardo Bertolo
• Alessandro Antonelli
• Randall Lee
• Daniel D Eun
• Vitaly Margulis
• Firas Abdollah
• Takashi Yoshida
• Ithaar H Derweesh
• Margaret F Meagher
• Giuseppe Simone
• Gabriele Tuderti
• Eugenio Bologna
• Reza Mehrazin
• Soroush Rais-Bahrami
• Chandru P Sundaram
• Courtney Yong
• Andrea Minervini
• Andrea Mari
• Luca Lambertini
• Matteo Ferro
• Nirmish Singla
• Savio D Pandolfo
• Daniele Amparore
• Enrico Checcucci
• Mark L Gonzalgo
• James R Porter
• Alireza Ghoreifi
• Roberto Contieri
• Sisto Perdonà
• Francesco Porpiglia
• Hooman Djaladat
• Saum Ghodoussipour
• Riccardo Autorino

Publication/Presentation Date

5-15-2025

Abstract

Upper tract urothelial carcinoma (UTUC) is a rare malignancy, representing only 5-10% of urothelial carcinoma. The mainstay of treatment for high-risk patients is radical nephroureterectomy. Given the aggressive behavior of this disease, additional treatments could be required perioperatively in terms of chemotherapy (CHT), either in a neoadjuvant or adjuvant setting. On the other hand, low-risk and selected cases can be managed with kidney-sparing surgery (KSS). The ROBotic surgery for Upper tract Urothelial cancer STudy (ROBUUST) is an ongoing international, multicenter registry of patients undergoing surgery for UTUC. After conducting a literature search in February 2025 using the MEDLINE (via PubMed) and Embase databases, we identified 14 studies based on the ROBUUST data analyses. There are several key topics concerning UTUC that remain under debate and were therefore addressed in these studies, focusing on preoperative evaluation and planning, surgical techniques and intraoperative procedures, additional perioperative treatments, and outcomes. The ROBUUST registry has served as a valuable source for a growing body of investigations focusing on various aspects of UTUC treatment planning, decision-making, and outcomes, providing innovative tools and enabling large-scale, novel analyses.

Volume

17

Issue

10

ISSN

2072-6694

Published In/Presented At

Biasatti, A., Bignante, G., Ditonno, F., Veccia, A., Bertolo, R., Antonelli, A., Lee, R., Eun, D. D., Margulis, V., Abdollah, F., Yoshida, T., Derweesh, I. H., Meagher, M. F., Simone, G., Tuderti, G., Bologna, E., Mehrazin, R., Rais-Bahrami, S., Sundaram, C. P., Yong, C., … Autorino, R. (2025). New Insights into Upper Tract Urothelial Carcinoma: Lessons Learned from the ROBUUST Collaborative Study. Cancers, 17(10), 1668. https://doi.org/10.3390/cancers17101668

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

40427165

Department(s)

Administration and Leadership

Document Type

Article