[浅表性和转移性膀胱癌的随访]。

Isabella Zraik, Susanne Krege
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引用次数: 0

摘要

关于膀胱癌的随访,必须区分浅表性、肌肉侵袭性和转移性肿瘤。对于浅表性膀胱癌,输尿管镜检查仍是标准的随访方法。频率取决于风险分类。即使是经过R0切除的肌肉浸润性癌,也会有30%左右的病例发生转移。这些肿瘤以及原发性转移性癌症是无法治愈的。因此,在这些病例中,人们不应该谈论随访,而应该谈论治疗控制。尽管如此,即使在这些病例中,S3指南也建议定期随访检查,因为新的治疗选择可以明显提高患者的生存率。随访时需考虑尿路改道可能引起的并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Follow-up in superficial and metastatic bladder cancer].

Concerning follow-up in bladder cancer, it must be distinguished between superficial, muscle-invasive, and metastatic tumors. In superficial bladder cancer, urethrocystoscopy is still standard for follow-up. Frequency depends on the risk classification. Even muscle-invasive carcinomas, which underwent a R0 resection, will metastasize in about 30% of cases. These tumors as well as primarily metastasized cancer cannot be cured. Therefore, in these cases, one should not speak about follow-up but therapeutic control. Nonetheless, even in these cases the S3 guideline recommends regular follow-up examinations because new therapeutic options can clearly improve patient survival. Possible complications of urinary diversions need consideration during follow-up.

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