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Les tumeurs urothéliales de vessie pt1 de haut grade by Collectif

Les tumeurs urothéliales de vessie pt1 de haut grade

by Collectif
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Book cover type: Paperback
  • ISBN13: 9786131568503
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Univ Europeenne
  • Publisher Imprint: Univ Europeenne
  • Publication Date:
  • Pages: 136
  • Original Price: GBP 43.0
  • Language: French
  • Edition: N/A
  • Item Weight: 209 grams
  • BISAC Subject(s): Clinical Medicine

Toute la difficulté de la prise en charge des tumeurs urothéliales de vessie de stade pT1 de haut grade est dans la sélection des malades pour qui le traitement conservateur par BCG thérapie sera un échec et qui doivent alors avoir une cystectomie précocement. Cette série rétrospective sur 108 patients a comparé les résultats oncologiques en fonction de la prise en charge, il n'y a pas existé de différence significative de survie. Les facteurs de mauvais pronostics dégagés dans cette étude sont: une taille tumorale de plus de trois centimètres, une tumeur multifocale, l'absence de musculeuse sur la première résection, l'envahissement du chorion profond ( stade pT1b), et la présence d'emboles vasculaires tumoraux. Cependant aucun d'eux ne permet isolément d'indiquer une cystectomie précoce. Le choix dans la prise en charge thérapeutique doit se faire sans délai et résulte d'une analyse de l'ensemble de ces facteurs de risques

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