Kutwin Piotr, Konecki Tomasz, Cichocki Marcin, Falkowski Piotr, Jabłonowski Zbigniew
1st Department of Urology, Medical University of Lodz , Lodz, Poland .
Photomed Laser Surg. 2017 Sep;35(9):459-464. doi: 10.1089/pho.2016.4217. Epub 2017 May 22.
Bladder cancer is the most common malignancy of the urinary tract. Its proper diagnosis and efficient treatment is still considered a challenge in urology today. White light cystoscopy is a gold standard for the diagnosis, follow-up, and endoscopic treatment of bladder cancer. To improve the efficacy of bladder cancer management, photodynamic diagnosis and narrow-band imaging have been introduced to the urological armamentarium.
The article presents the current state of knowledge of technical solutions that are intended to improve the diagnosis and management of bladder cancer. A nonsystemic review of relevant PubMed literature was performed.
Photodynamic diagnosis and narrow-band imaging improve the detection of bladder cancer and decrease recurrence rates of bladder tumors.
Although the high cost of the equipment may limit its introduction to everyday use, it is a cost-effective method of bladder cancer management for long-term follow-up.
膀胱癌是最常见的泌尿系统恶性肿瘤。其正确诊断和有效治疗在当今泌尿外科领域仍是一项挑战。白光膀胱镜检查是膀胱癌诊断、随访及内镜治疗的金标准。为提高膀胱癌的治疗效果,光动力诊断和窄带成像已被引入泌尿外科诊疗手段。
本文介绍了旨在改善膀胱癌诊断和治疗的技术解决方案的当前知识状态。对相关PubMed文献进行了非系统性综述。
光动力诊断和窄带成像可提高膀胱癌的检测率并降低膀胱肿瘤的复发率。
尽管设备成本高昂可能限制其日常应用,但对于长期随访而言,它是一种具有成本效益的膀胱癌管理方法。