[Muscle-invasive bladder cancer]
- PMID: 34014342
- DOI: 10.1007/s00120-021-01536-2
[Muscle-invasive bladder cancer]
Abstract
Bladder cancer, which is a complex disease, can be treated with a variety of stage-oriented treatment options. In this article, the treatment recommendations of the German S3 guideline "Early detection, diagnosis, treatment and aftercare of bladder cancer" are applied in a fictitious case study. In a patient with invasive transitional cell carcinoma, the treatment options-ranging from bladder preservation to radical cystectomy with neoadjuvant chemotherapy-are discussed on the basis of the current literature.
Das Blasenkarzinom stellt eine komplexe Erkrankung mit vielseitigen, stadienorientierten Therapieoptionen dar. Im Folgenden werden die Therapieempfehlungen der S3-Leitlinie „Früherkennung, Diagnose, Therapie und Nachsorge des Harnblasenkarzinoms“ auf ein fiktives Fallbeispiel übertragen. Bei einem Patienten mit invasivem Urothelkarzinom werden so die Therapieoptionen – von Blasenerhalt bis radikaler Zystektomie mit neoadjuvanter Chemotherapie – anhand der dazu vorliegenden Literatur diskutiert.
Keywords: BCG; Chemotherapy, neoadjuvant; Cystectomy; Transurethral resection; Urinary bladder neoplasms; Urinary division.
References
Literatur
-
- Abe T, Takada N, Shinohara N et al (2014) Comparison of 90-day complications between ileal conduit and neobladder reconstruction after radical cystectomy: a retrospective multi-institutional study in Japan. Int J Urol 21:554–559 - DOI
-
- Ali AS, Hayes MC, Birch B et al (2015) Health related quality of life (HRQoL) after cystectomy: comparison between orthotopic neobladder and ileal conduit diversion. Eur J Surg Oncol 41:295–299 - DOI
-
- Bohle A, Jocham D, Bock PR (2003) Intravesical bacillus Calmette-Guerin versus mitomycin C for superficial bladder cancer: a formal meta-analysis of comparative studies on recurrence and toxicity. J Urol 169:90–95 - DOI
-
- Burger M, Grossman HB, Droller M et al (2013) Photodynamic diagnosis of non-muscle-invasive bladder cancer with hexaminolevulinate cystoscopy: a meta-analysis of detection and recurrence based on raw data. Eur Urol 64:846–854 - DOI
-
- Cerantola Y, Valerio M, Persson B et al (2013) Guidelines for perioperative care after radical cystectomy for bladder cancer: Enhanced Recovery After Surgery (ERAS((R))) society recommendations. Clin Nutr 32:879–887 - DOI
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical