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Review
. 2021 Jun;60(6):769-775.
doi: 10.1007/s00120-021-01536-2. Epub 2021 May 20.

[Muscle-invasive bladder cancer]

[Article in German]
Affiliations
Review

[Muscle-invasive bladder cancer]

[Article in German]
Jakob Büchler et al. Urologe A. 2021 Jun.

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.

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References

Literatur

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    1. 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
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    1. 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
    1. 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

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