Follow-up surveillance of muscle-invasive urinary bladder cancer after curative treatment

被引:2
作者
Schulz, G. B. [1 ]
Stief, C. G. [1 ]
Schlenker, B. [1 ]
机构
[1] Klinikum Ludwig Maximilians Univ LMU Munchen, Urol Klin & Poliklin, Campus Grosshadern,Marchioninistr 15, D-81377 Munich, Germany
来源
UROLOGE | 2019年 / 58卷 / 09期
关键词
Urinary bladder neoplasms; Tumor surveillance; Urothelial carcinoma; Tumor recurrence; Urine cytology; RADICAL CYSTECTOMY; UROTHELIAL CARCINOMA; URETHRAL RECURRENCE; TRACT RECURRENCE; RISK-FACTORS; REMNANT UROTHELIUM; TUMOR RECURRENCE; OUTCOMES; DIVERSION; SURVIVAL;
D O I
10.1007/s00120-019-1012-4
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Follow-up care of patients with muscle-invasive bladder cancer is subdivided into oncological and functional surveillance. More than 80% of local relapses and distant metastases occur within the first 2 years. Recurrences in the remnant urothelium also occur several years after radical cystectomy. Urinary cytology and a computed tomography (CT) scan of the abdomen and thorax including a urography phase are the standard diagnostics for tumor follow-up. There is no clear evidence for a survival benefit for the detection of asymptomatic vs. symptomatic recurrences. After partial cystectomy or trimodal treatment, there is no established follow-up schedule; however, the relatively high incidence of intravesical recurrences should be considered as there are curative treatment approaches including salvage cystectomy. Functional surveillance, which should be carried out lifelong, encompasses prevention and diagnostics of metabolic complications, urethral/ureteral strictures, problems with the urinary stoma, urinary incontinence, sexual dysfunction and urinary tract infections.
引用
收藏
页码:1093 / 1106
页数:14
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