Rational follow-up of non-muscle invasive bladder cancer Rationale Nachsorge des nicht-muskelinvasiven Harnblasenkarzinoms
Von Landenberg N, Benderska-Soeder N, Bismarck E, Kernig K, Erne E, Goebell P, Schmitz-Draeger BJ (2021)
Publication Type: Journal article, Review article
Publication year: 2021
Journal
DOI: 10.1007/s00120-021-01683-6
Abstract
Background: Follow-up for non-muscle invasive bladder cancer (NMIBC) is a challenge for urologists that has not been finally resolved. The intensity of follow-up is based on the recurrence and progression behavior of the tumor as well as the patient’s individual situation. Materials and methods: The following article focuses on the current data situation, the valid German S3 guideline and the available instruments for the detection of relapses and progression, taking into account tumor stages and degree of malignancy. Results: Urethrocystoscopy, imaging and urine cytology are generally recommended, but the recommendations appear to be too extensive in the case of so-called intermediate risk profiles. Depending on the situation, urine markers could optimize follow-up, although results from prospective randomized studies are still pending. Conclusions: The current follow-up of NMIBC is invasive, carries the risk of side effects and increases costs. In the absence of scientific evidence, recommendations for follow-up for NMIBC are naturally based on expert opinion. In the opinion of the authors, overdiagnosis is currently taking place particularly in patients with an intermediate risk profile. The first prospective, marker-based studies are ongoing and will be helpful in the near future to improve the data situation relevant to urological practice.
Authors with CRIS profile
Involved external institutions
Ruhr-Universität Bochum (RUB)
Germany (DE)
St. Theresien-Krankenhaus Nürnberg
Germany (DE)
Universität Rostock
Germany (DE)
Eberhard Karls Universität Tübingen
Germany (DE)
Germany (DE)
St. Theresien-Krankenhaus Nürnberg
Germany (DE)
Universität Rostock
Germany (DE)
Eberhard Karls Universität Tübingen
Germany (DE)
How to cite
APA:
Von Landenberg, N., Benderska-Soeder, N., Bismarck, E., Kernig, K., Erne, E., Goebell, P., & Schmitz-Draeger, B.J. (2021). Rational follow-up of non-muscle invasive bladder cancer Rationale Nachsorge des nicht-muskelinvasiven Harnblasenkarzinoms. Urologe. https://doi.org/10.1007/s00120-021-01683-6
MLA:
Von Landenberg, N., et al. "Rational follow-up of non-muscle invasive bladder cancer Rationale Nachsorge des nicht-muskelinvasiven Harnblasenkarzinoms." Urologe (2021).
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