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Review
. 2025 Jan 3;61(1):71.
doi: 10.3390/medicina61010071.

New Trends and Future Perspectives in the Diagnosis of Urothelial Carcinoma: A Comprehensive Review of the Literature

Affiliations
Review

New Trends and Future Perspectives in the Diagnosis of Urothelial Carcinoma: A Comprehensive Review of the Literature

Mourmouris Panagiotis et al. Medicina (Kaunas). .

Abstract

Despite the high incidence of bladder cancer (it represents the 7th most common cancer in males), EAU guidelines do not recommend any technique for screening and prevention, whereas the main diagnostic tools remain computed tomography urography (CTU), cytology, and cystoscopy. Unfortunately, these gold-standard modalities are mainly characterized by low sensitivity and accuracy. To minimize the limitations and increase the detection rates of urothelial cancer, several technologies have been developed. In our review, we summarize all the available data concerning the contemporary technological novelties that include imaging, cytology, and endoscopic techniques in pursuit of finding the optimal combination of diagnostic tools that can provide better detection accuracy.

Keywords: biomarkers; bladder cancer; cytology; diagnosis; endoscopy; imaging; upper urinary tract cancer; urothelial carcinoma.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Flowchart of included studies.

References

    1. International Agency for Research on Cancer WHO Estimated Number of New Cases In 2020, Worldwide, Both Sexes, All Ages 2021. [(accessed on 3 December 2020)]. Available online: https://gco.iarc.fr/today/online-analysis-table?v=2020&mode=cancer&mode_....
    1. Soria F., Shariat S.F., Lerner S.P., Fritsche H.M., Rink M., Kassouf W., Spiess P.E., Lotan Y., Ye D., Fernández M.I., et al. Epidemiology, diagnosis, preoperative evaluation and prognostic assessment of upper-tract urothelial carcinoma (UTUC) World J. Urol. 2017;35:379–387. doi: 10.1007/s00345-016-1928-x. - DOI - PubMed
    1. Wenzel M., Nocera L., Collà Ruvolo C., Würnschimmel C., Tian Z., Shariat S.F., Saad F., Briganti A., Tilki D., Mandel P., et al. Incidence rates and contemporary trends in primary urethral cancer. Cancer Causes Control. 2021;32:627–634. doi: 10.1007/s10552-021-01416-2. - DOI - PMC - PubMed
    1. Babjuk M., Burger M., Capoun O., Cohen D., Compérat E.M., Dominguez Escrig J.L., Gontero P., Liedberg F., Masson-Lecomte A., Mostafid A.H., et al. European Association of Urology Guidelines on Non-muscle-invasive Bladder Cancer (Ta, T1, and Carcinoma in Situ) Eur. Urol. 2022;81:75–94. doi: 10.1016/j.eururo.2021.08.010. - DOI - PubMed
    1. Baard J., de Bruin D.M., Zondervan P.J., Kamphuis G., de la Rosette J., Laguna M.P. Diagnostic dilemmas in patients with upper tract urothelial carcinoma. Nat. Rev. Urol. 2017;4:181–191. doi: 10.1038/nrurol.2016.252. - DOI - PubMed

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