PRIMARY URETERIC NEOPLASMS 1

SUMMARY The Leeds series of 40 cases of primary ureteric neoplasm (36 treated and 4 discovered at necropsy) is analysed and the relevant literature discussed. The diagnosis of a primary ureteric tumour is often straightforward but occasionally very difficult. A plea is made in all cases of hæmaturia for:‐ 1. Cystoscopy during hæmaturia if possible. 2. The urologist not to be satisfied with the finding of a bladder tumour since there may be a ureteric tumour as well. 3. The obtaining of complete pyelo‐ureterograms. Although nephro‐ureterectomy is the operative procedure most commonly employed in the treatment of primary ureteric neoplasms consideration should be given to the possibility of a renal conservation operation, particularly if the ureteric tumour is believed to be benign. We are indebted to many for their help in the production of this paper. We wish to thank in particular the Leeds pathologists Dr C. K. Anderson, Dr William Goldie, and Dr J. A. Dossett; Mr D. B. Feather, Surgeon to St James's Hospital, Leeds, who operated on Case C7; Mr Geoffrey Wilson, Surgeon to St James's Hospital, Leeds, for Case CI6; Mr D. S. Poole‐Wilson, Manchester, for Figures 17 and 18; Mr Herbert Honey, Salisbury, Southern Rhodesia, for Figure 15; Mr C. M. Weintraub, Urological Registrar, Salford Royal Hospital, for his most generous help with the illustrations; and the staff of the Departments of Medical Illustration in the two Leeds hospitals, Christie Hospital, Manchester, and Salford Royal Hospital.