This is Episode 28: Upper Tract Urothelial Carcinoma perioperative therapy, patterns of failure, and where radiation enters the conversation.UTUC is one of those diseases that residents do not see often, but oral examiners love it because it looks familiar and then punishes shortcut thinking. The histology overlaps with bladder urothelial carcinoma, but the risk stratification, the surgical planning, the perioperative systemic-therapy logic, and the radiation role are not the same.