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非肌层浸润性膀胱肿瘤的膀胱内治疗

[Intravesical therapy of non-muscle invasive bladder tumors].

作者信息

Vom Dorp F, Tschirdewahn S, Lümmen G

机构信息

Klinik und Poliklinik für Urologie, Universitätsklinikum Essen, Hufelandstr. 55, 45122 Essen, Deutschland.

出版信息

Urologe A. 2012 Feb;51(2):257-64. doi: 10.1007/s00120-011-2775-4.

DOI:10.1007/s00120-011-2775-4
PMID:22331075
Abstract

Intravesical therapy of non-muscle invasive bladder tumors has a long tradition. With regard to low grade tumors prevention of tumor recurrence remains the main endpoint, whereas in high grade tumors prevention of tumor progression is the main aim of intravesical treatment. The following article critically discusses these aspects of non-muscle invasive bladder tumors.

摘要

非肌层浸润性膀胱肿瘤的膀胱内治疗有着悠久的历史。对于低级别肿瘤,预防肿瘤复发仍是主要终点,而对于高级别肿瘤,预防肿瘤进展是膀胱内治疗的主要目标。以下文章对非肌层浸润性膀胱肿瘤的这些方面进行了批判性讨论。

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本文引用的文献

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[Urothelial carcinoma of the bladder: evaluation by combined endoscopy and urine cytology: is incontrovertible assessment possible?].[膀胱尿路上皮癌:联合内镜检查与尿液细胞学检查的评估:能否进行确凿的评估?]
Urologe A. 2011 Jun;50(6):702-5. doi: 10.1007/s00120-010-2502-6.
2
Sequential intravesical chemoimmunotherapy with mitomycin C and bacillus Calmette-Guérin and with bacillus Calmette-Guérin alone in patients with carcinoma in situ of the urinary bladder: results of an EORTC genito-urinary group randomized phase 2 trial (30993).序贯膀胱内顺铂化疗联合卡介苗与单纯卡介苗免疫治疗表浅膀胱癌的随机 2 期 EORTC 泌尿生殖系肿瘤研究组临床试验(30993)
Eur Urol. 2011 Mar;59(3):438-46. doi: 10.1016/j.eururo.2010.11.038. Epub 2010 Dec 7.
3
Clinical outcome of primary versus secondary bladder carcinoma in situ.原发性与继发性膀胱癌原位的临床转归。
J Urol. 2010 Aug;184(2):464-9. doi: 10.1016/j.juro.2010.03.134. Epub 2010 Jun 17.
4
Long-term efficacy results of EORTC genito-urinary group randomized phase 3 study 30911 comparing intravesical instillations of epirubicin, bacillus Calmette-Guérin, and bacillus Calmette-Guérin plus isoniazid in patients with intermediate- and high-risk stage Ta T1 urothelial carcinoma of the bladder.EORTC 泌尿生殖系统肿瘤组随机 3 期研究 30911 的长期疗效结果,比较表柔比星、卡介苗和卡介苗联合异烟肼膀胱内灌注治疗中高危期 TaT1 尿路上皮膀胱癌患者的疗效。
Eur Urol. 2010 May;57(5):766-73. doi: 10.1016/j.eururo.2009.12.024. Epub 2009 Dec 18.
5
[Urine-based cytological diagnosis against the background of the new histopathological classification].
Urologe A. 2009 Jun;48(6):615-8. doi: 10.1007/s00120-009-1990-8.
6
An individual patient data meta-analysis of the long-term outcome of randomised studies comparing intravesical mitomycin C versus bacillus Calmette-Guérin for non-muscle-invasive bladder cancer.一项针对非肌层浸润性膀胱癌患者,比较膀胱内注射丝裂霉素C与卡介苗的随机研究长期结果的个体患者数据荟萃分析。
Eur Urol. 2009 Aug;56(2):247-56. doi: 10.1016/j.eururo.2009.04.038. Epub 2009 Apr 24.
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A single immediate postoperative instillation of chemotherapy decreases the risk of recurrence in patients with stage Ta T1 bladder cancer: a meta-analysis of published results of randomized clinical trials.术后单次即刻灌注化疗可降低Ta T1期膀胱癌患者的复发风险:一项对已发表的随机临床试验结果的荟萃分析。
J Urol. 2004 Jun;171(6 Pt 1):2186-90, quiz 2435. doi: 10.1097/01.ju.0000125486.92260.b2.