Email this article RECURRENT NON-MUSCLE INVASIVE BLADDER CANCER: POSSIBLE ENDOSCOPIC MODES TO SOLVE THE PROBLEM
- Authors: Martov A.G.1, Ergakov D.V.1, Andronov A.S.1
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Affiliations:
- City Clinical Urology Hospital Forty-Seven, Moscow Healthcare Department
- Issue: Vol 6, No 1 (2010)
- Pages: 6-13
- Section: LECTURE
- Published: 30.03.2010
- URL: https://oncourology.abvpress.ru/oncur/article/view/4
- DOI: https://doi.org/10.17650/1726-9776-2010-6-1-6-13
- ID: 4
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Abstract
The high rate of recurrences after transurethral resection of the bladder is a key problem in the treatment of patients with superficial tumors. The main reasons for the high rate of recurrences are diffuse urothelial neoplastic changes, cancer in situ, possible tumor cell implantation at surgery, and non-radical removal of a tumor itself. As of now, the most important ways of solving the problem, among which there are a lot of endoscopic modes, include increased radicality of primary tumor removal (bipolar electrosurgery, electrovaporization, laser resection and ablation), more precise intraoperative disease staging (Raman spectroscopy, optical coherence tomography), identification of invisible neoplasms by standard methods (photodynamic diagnosis, narrow-spectrum imaging), monitoring of primary tumor removal radicality (early recystoscopy and bladder biopsy), photodynamic therapy, urinary retention elimination, by saving the patient from infravesical obstruction, as well as urinary cytology, use of diagnostic markers (BTA test and others), adjuvant immunochemotherapy, radiotherapy, etc. By taking into account the data available in the literature and their findings, the authors consider possible ways of reducing the recurrence rate of superficial bladder carcinoma.
About the authors
A. G. Martov
City Clinical Urology Hospital Forty-Seven, Moscow Healthcare DepartmentRussian Federation
D. V. Ergakov
City Clinical Urology Hospital Forty-Seven, Moscow Healthcare DepartmentRussian Federation
A. S. Andronov
City Clinical Urology Hospital Forty-Seven, Moscow Healthcare Department
Author for correspondence.
Russian Federation
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