RECURRENT NON-MUSCLE INVASIVE BLADDER CANCER: POSSIBLE ENDOSCOPIC MODES TO SOLVE THE PROBLEM
Oncourology
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| Title |
RECURRENT NON-MUSCLE INVASIVE BLADDER CANCER: POSSIBLE ENDOSCOPIC MODES TO SOLVE THE PROBLEM
РЕЦИДИВИРОВАНИЕ МЫШЕЧНО-НЕИНВАЗИВНОГО РАКА МОЧЕВОГО ПУЗЫРЯ: ВОЗМОЖНЫЕ ЭНДОСКОПИЧЕСКИЕ ПУТИ РЕШЕНИЯ ПРОБЛЕМЫ |
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| Creator |
A. Martov G.; City Clinical Urology Hospital Forty-Seven, Moscow Healthcare Department
D. Ergakov V.; City Clinical Urology Hospital Forty-Seven, Moscow Healthcare Department A. Andronov S.; City Clinical Urology Hospital Forty-Seven, Moscow Healthcare Department А. Мартов Г.; Городская клиническая урологическая больница № 47 Департамента здравоохранения Москвы Д. Ергаков В.; Городская клиническая урологическая больница № 47 Департамента здравоохранения Москвы А. Андронов С.; Городская клиническая урологическая больница № 47 Департамента здравоохранения Москвы |
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| Subject |
urinary bladder; transurethral resection; cystoscopy; recurrence; current technologies
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| Description |
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.
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. |
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| Publisher |
"PH "ABV-Press"", LLC
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| Contributor |
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| Date |
2014-07-24
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| Type |
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion — — |
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| Format |
application/pdf
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| Identifier |
http://oncourology.abvpress.ru/index.php/oncur/article/view/4
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| Source |
Oncourology; № 1 (2010); 6-13
Онкоурология; № 1 (2010); 6-13 1726-9776 |
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| Language |
rus
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| Relation |
http://oncourology.abvpress.ru/index.php/oncur/article/view/4/19
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| Rights |
Authors who publish with this journal agree to the following terms:Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
Авторы, публикующие в данном журнале, соглашаются со следующим:Авторы сохраняют за собой авторские права на работу и предоставляют журналу право первой публикации работы на условиях лицензии Creative Commons Attribution License, которая позволяет другим распространять данную работу с обязательным сохранением ссылок на авторов оригинальной работы и оригинальную публикацию в этом журнале.Авторы сохраняют право заключать отдельные контрактные договоронности, касающиеся не-эксклюзивного распространения версии работы в опубликованном здесь виде (например, размещение ее в институтском хранилище, публикацию в книге), со ссылкой на ее оригинальную публикацию в этом журнале.Авторы имеют право размещать их работу в сети Интернет (например в институтском хранилище или персональном сайте) до и во время процесса рассмотрения ее данным журналом, так как это может привести к продуктивному обсуждению и большему количеству ссылок на данную работу (См. The Effect of Open Access). |
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