Repeated transurethral resection in non-muscle invasive bladder cancer
Close
Conţinutul numărului revistei
Articolul precedent
Articolul urmator
422 3
Ultima descărcare din IBN:
2023-11-09 15:04
Căutarea după subiecte
similare conform CZU
616.62-006.6-07-08 (3)
Pathology of the urogenital system. Urinary and sexual (genital) complaints. Urology (392)
SM ISO690:2012
VLADANOV, Ivan, BANOV, Pavel, GHICAVÎI, Vitalie. Repeated transurethral resection in non-muscle invasive bladder cancer. In: Archives of the Balkan Medical Union, 2021, nr. 1(56), pp. 66-71. ISSN 1584-9244. DOI: https://doi.org/10.31688/ABMU.2021.56.1.08
EXPORT metadate:
Google Scholar
Crossref
CERIF

DataCite
Dublin Core
Archives of the Balkan Medical Union
Numărul 1(56) / 2021 / ISSN 1584-9244

Repeated transurethral resection in non-muscle invasive bladder cancer

DOI:https://doi.org/10.31688/ABMU.2021.56.1.08
CZU: 616.62-006.6-07-08

Pag. 66-71

Vladanov Ivan12, Banov Pavel12, Ghicavîi Vitalie12
 
1 Timofei Moșneaga Republican Clinical Hospital,
2 ”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
 
Disponibil în IBN: 4 mai 2021


Rezumat

Introduction. The treatment requirements for non-muscle invasive bladder cancer (NMIBC) (Ta, T1) and muscular invasive bladder disease (T2) differ considerably, therefore a correct staging of the disease is most important. The staging of the disease is frequently underestimated during the primary tumour resection. The objective of the study. To evaluate the results of repeated transurethral resections of the bladder tumours, to assess the treatment outcomes. Material and methods. 160 patients diagnosed with NMIBC underwent transurethral resection of the bladder tumours (TUR) and repeated TUR (reTUR). A data analysis was carried out following the interventions, with histopathological examination, disease staging, and dynamic assessment after 1-year follow up. Results. The average age of the patients was 65.7 years (range 28-86 years) and most of the patients were male, 139 (87%). In most of the cases, the tumours were single, less than 3 cm, and of low-grade in 52%. At reTUR, the residual disease was found in 33% (25/76) of cases. Of these patients, 12 were Ta and 7 were T1, while 2 were carcinoma in situ (Tis) with residual T1 and 4 were upstaged to T2 disease. 62% of residual tumours were detected within the initial resection area. The recurrence rate after 1-year follow-up in the group of reTUR vs. TUR group was lower (29% vs. 56%), as well as disease progression (5% vs. 13%), respectively, after the 1-year follow up. Conclusions. Residual tumours commonly occur following a transurethral resection of high-risk non-muscle invasive bladder cancers. The repeated resection procedure helps in diagnosing residual tumours which have been initially assessed as the T1 stage and may improve the treatment outcomes. 

Cuvinte-cheie
bladder cancer, progression, Repeated resection, staging