Clinical practice guideline on bladder cancer (Part II)

UroPrecision Pub Date : 2024-03-01 DOI:10.1002/uro2.35
Xiying Dong, Gang Song, Kaopeng Guan, Tie Wang, Xiaoli Feng, Yulin Liu, Min Liu, Zhigang Ji, Xiao Li, Jiongming Li, Yong Zhang, Fangjian Zhou, Aiping Zhou, Wanhai Xu, Tao Xu, Xianshu Gao, Qing Zhai, Qiang Wei, Nianzeng Xing
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Abstract

Bladder cancer (BC) is an increasingly common malignancy in China, with an incidence rate of 5.80 per 100 000 in 2015, making it the thirteenth most common cancer in the country. This trend underscores the urgent need for standardized diagnosis and treatment protocols. In terms of treatment, approaches for bladder cancer vary based on the cancer's stage and pathology, as well as the patient's overall health. Notably, non‐muscle‐invasive BC (NMIBC) confined to the mucosa (Ta) and lamina propria (T1) without invading the muscle represents about 75% of all BC cases. Succeeding the first part of the guideline, this part of the clinical practice guideline focuses on NMIBC. It details risk classifications and treatment options, including both surgical procedures and posttransurethral resection of the bladder tumor intravesical instillations. Special attention is given to the treatment strategies for carcinoma in situ. The guideline also covers the recommended follow‐up procedures for patients with NMIBC, underscoring the need for thorough and continuous care management.
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膀胱癌临床实践指南(第二部分)
在中国,膀胱癌(BC)是一种越来越常见的恶性肿瘤,2015年的发病率为5.80/10万,是中国第十三大常见癌症。这一趋势凸显了对标准化诊断和治疗方案的迫切需求。在治疗方面,膀胱癌的治疗方法因癌症的分期、病理以及患者的整体健康状况而异。值得注意的是,局限于粘膜(Ta)和固有层(T1)而未侵犯肌肉的非肌肉浸润性膀胱癌(NMIBC)约占所有膀胱癌病例的 75%。继指南的第一部分之后,临床实践指南的这一部分重点关注 NMIBC。它详细介绍了风险分类和治疗方案,包括外科手术和膀胱肿瘤经尿道切除术后膀胱内灌注。其中特别关注原位癌的治疗策略。该指南还涵盖了 NMIBC 患者的建议随访程序,强调了全面、持续护理管理的必要性。
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