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窄带成像视野对新诊断的非肌层浸润性膀胱癌患者首次随访膀胱镜检查结果的影响

The Influence of NBI Vision Over the First Follow-up Cystoscopy Outcomes in Newly Diagnosed NMIBC Patients.

作者信息

Geavlete B, Bulai C, Ene C, Checherita I, Geavlete P

出版信息

Chirurgia (Bucur). 2015 Mar-Apr;110(2):157-60.

Abstract

BACKGROUND

A retrospective study was aimed to establish the eventual impact of narrow band imaging (NBI) cystos copy over the short term residual tumors’ rate determined during the first follow-up endoscopic control in newly determined non-muscle invasive bladder cancer (NMIBC) cases.

METHODS

68 patients were found with NMIBC by means of both white light cystoscopy (WLC) and NBI. A follow-up using both investigation modalities was performed at 3 months from the initial procedure in 67 cases (one was lost from follow-up). RESULTS concerning the short termer currences were retrospectively compared to those obtain ending a similar series of 67 patients previously diagnosed and treated by means of classical WLC and resection only.

RESULTS

The short term residual tumors’ rate established during the first follow-up cystoscopy was lower in the study group initially benefiting from the NBI mode by comparison to the WLC control series (4.5% versus 11.9%). When drawing a parallel with the tumor map location outlined during the initial procedure, the most important differences were emphasized concerning other site recurrences (3%versus 8.95%).

CONCLUSIONS

NBI cystoscopy and resection displayed a substantially favorable influence over the short termoncologic outcome in newly diagnosed NMIBC cases when compared to the standard protocol.

ABBREVIATIONS

NBI â€" narrow band imaging; NMIBC â€"non-muscle invasive bladder cancer; WLC â€" white light cystoscopy; TURBT â€" transurethral resection of bladdertumors; CIS â€" carcinoma in situ.

摘要

背景

一项回顾性研究旨在确定窄带成像(NBI)膀胱镜检查对新确诊的非肌层浸润性膀胱癌(NMIBC)病例首次随访内镜检查时确定的短期残留肿瘤率的最终影响。

方法

通过白光膀胱镜检查(WLC)和NBI发现68例NMIBC患者。67例患者(1例失访)在初次手术后3个月采用两种检查方式进行随访。将短期复发结果与先前仅通过经典WLC和切除术诊断和治疗的67例患者的类似系列结果进行回顾性比较。

结果

与WLC对照组相比,最初采用NBI模式的研究组在首次随访膀胱镜检查时确定的短期残留肿瘤率较低(4.5%对11.9%)。与初次手术时勾勒的肿瘤图谱位置进行对比时,其他部位复发方面的差异最为显著(3%对8.95%)。

结论

与标准方案相比,NBI膀胱镜检查和切除术对新诊断的NMIBC病例的短期肿瘤学结局显示出明显有利的影响。

缩写

NBI——窄带成像;NMIBC——非肌层浸润性膀胱癌;WLC——白光膀胱镜检查;TURBT——经尿道膀胱肿瘤切除术;CIS——原位癌

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