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Journals / Üroonkoloji Bülteni / 2018 / Cilt: 17 - Sayı: 2

Mesane Kanserinde Organ Koruyucu Yaklaşım: Güncel Durum Değerlendirmesi

Organ-Preserving Approach in Bladder Cancer: Assessment of the Current Situation

REHA GİRGİN
NECMETTİN AYDIN MUNGAN
Pages
63–67
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Bu derlemede intravezikal BCG başarısızlığında radikal sistektomiye alternatif intravezikal güncel tedavi seçenekleri onkolojik sonuçlarıyla birlikte tartışılmıştır.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:İntravezikal bacillus Calmette-Guérin (BCG) tedavisi yüksek riskli kasa invaze olmayan mesane kanserinde altın standart tedavi seçeneğidir.
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Key Findings & Data:Bununla beraber BCG oldukça toksik bir ajandır.
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Conclusion & Impact:Bu derlemede intravezikal BCG başarısızlığında radikal sistektomiye alternatif intravezikal güncel tedavi seçenekleri onkolojik sonuçlarıyla birlikte tartışılmıştır.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

İntravezikal bacillus Calmette-Guérin (BCG) tedavisi yüksek riskli kasa invaze olmayan mesane kanserinde altın standart tedavi seçeneğidir. Bununla beraber BCG oldukça toksik bir ajandır. Tedaviye başladıktan sonra hastaların önemli bir kısmında BCG intoleransı izlenir. İster BCG başarısızlığı olsun, ister BCG intoleransı olsun radikal sistektomi bu aşamada önerilen tedavi yaklaşımı olmaktadır. Komorbiditeleri nedeniyle radikal sistektomiyi tolere edemeyecek ya da böylesi bir cerrahiyi kabul etmeyen hastalarda alternatif intravezikal kurtarma tedavilerine ihtiyaç vardır. Bu derlemede intravezikal BCG başarısızlığında radikal sistektomiye alternatif intravezikal güncel tedavi seçenekleri onkolojik sonuçlarıyla birlikte tartışılmıştır.

Özet

Intravesical bacillus Calmette-Guerin (BCG) therapy is the gold standard treatment option in high-risk non-invasive bladder cancer. However, BCG is a very toxic agent. A significant proportion of patients have BCG intolerance after beginning intravesical treatment. Radical cystectomy is the recommended approach for patients with either BCG failure or BCG intolerance. Alternative intravesical salvage treatments are needed for patients who cannot tolerate radical cystectomy due to comorbidities or who refuse surgery. In this review, current intravesical treatment alternatives to radical cystectomy in intravesical BCG failure are discussed with oncologic outcomes.

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Cite This Article

GİRGİN, R., MUNGAN, N. A. (2018). Mesane Kanserinde Organ Koruyucu Yaklaşım: Güncel Durum Değerlendirmesi. Üroonkoloji Bülteni, Cilt: 17 - Sayı: 2, 63–67. https://ajindex.com/articles/334870

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