ЛЕЧЕНИЕ БОЛЬНЫХ МЫШЕЧНО-НЕИНВАЗИВНЫМ РАКОМ МОЧЕВОГО ПУЗЫРЯ ПОСЛЕ НЕУДАЧНОГО ПРИМЕНЕНИЯ ВНУТРИПУЗЫРНОЙ БЦЖ-ТЕРАПИИ
https://doi.org/10.17650/1726-9776-2010-6-3-51-56
Аннотация
Неудачи БЦЖ-терапии мышечно-неинвазивного рака мочевого пузыря классифицируются как БЦЖ-рефрактерность, БЦЖ- резистентность, рецидивы после БЦЖ-терапии. У части больных отмечается непереносимость БЦЖ, в связи с чем лечение приходится прекращать. Выявляемые у пациентов БЦЖ-рефрактерность, ранние рецидивы заболевания ассоциируются с высоким риском прогрессии, высокой опухолеспецифической смертностью и являются показаниями к выполнению немедленной цистэктомии. При наличии у больных группы высокого риска дополнительных неблагоприятных прогностических факторов прогрессии заболевания следует отдать предпочтение ранней цистэктомии. Консервативное лечение больных с неудачами БЦЖ-терапии может проводиться только в рамках исследовательских программ.
Ключевые слова
мышечно-неинвазивный рак мочевого пузыря,
БЦЖ,
неудачи БЦЖ-терапии,
прогрессия,
цистэктомия,
химиотерапия
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Рецензия
Для цитирования:
Фигурин К.М. ЛЕЧЕНИЕ БОЛЬНЫХ МЫШЕЧНО-НЕИНВАЗИВНЫМ РАКОМ МОЧЕВОГО ПУЗЫРЯ ПОСЛЕ НЕУДАЧНОГО ПРИМЕНЕНИЯ ВНУТРИПУЗЫРНОЙ БЦЖ-ТЕРАПИИ. Онкоурология. 2010;6(3):51-56. https://doi.org/10.17650/1726-9776-2010-6-3-51-56
For citation:
Figurin K.M. TREATMENT IN PATIENTS WITH MUSCLE NONINVASIVE CARCINOMA OF THE URINARY BLADDER AFTER UNSUCCESSFUL INTRAVESICULAR BCG THERAPY. Cancer Urology. 2010;6(3):51-56. (In Russ.) https://doi.org/10.17650/1726-9776-2010-6-3-51-56
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