膀胱尿路上皮癌的初始处理和治疗概述
- Authors
- Seth P Lerner, MD
Seth P Lerner, MD
- Section Editor — Bladder Cancer
- Beth and Dave Swalm Chair in Urologic Oncology
- Professor of Urology
- Baylor College of Medicine
- Derek Raghavan, MD, PhD, FACP, FASCO
Derek Raghavan, MD, PhD, FACP, FASCO
- Section Editor — Bladder Cancer
- President, Levine Cancer Institute
- Carolinas HealthCare System
- Charlotte, NC
- Section Editor
- Jerome P Richie, MD, FACS
Jerome P Richie, MD, FACS
- Section Editor — Cancer of the Urethra, Penis, and Ureter; Urologic Surgery; Prostate Cancer
- Elliott Carr Cutler Professor of Surgery
- Harvard Medical School
- Deputy Editor
- Michael E Ross, MD
Michael E Ross, MD
- Senior Deputy Editor — UpToDate
- Deputy Editor — Oncology
- Translators
- 张骞, 副主任医师,副教授
张骞, 副主任医师,副教授
- 北京大学第一医院泌尿外科
引言
膀胱癌是最常见的累及泌尿系统的恶性肿瘤。在美国和欧洲,尿路上皮(曾被称为移行细胞)癌是主要的组织学类型,约占所有膀胱癌的90%。在世界其他地区,非尿路上皮癌则更常见。在较少见的情况下,尿路上皮癌可出现在肾盂、输尿管或尿道。 (参见“膀胱尿路上皮(移行细胞)癌的流行病学和危险因素”,关于‘流行病学’一节)
就诊时膀胱尿路上皮癌包括非肌层浸润癌、肌层浸润癌和转移癌。病变的程度可反映其自然病程并决定治疗和预后。
本专题将提供膀胱尿路上皮癌的初始处理和治疗概述。如下所示,关于这些问题的更详细的讨论见相关专题。
其他部位出现的尿路上皮肿瘤的处理及其他类型的膀胱癌将单独讨论:
●(参见“男性尿道癌”)
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To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information or to purchase a personal subscription, click below on the option that best describes you:Literature review current through: 2017-06 . | This topic last updated: 2017-06-29.The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. Always seek the advice of your own physician or other qualified health care professional regarding any medical questions or conditions. The use of this website is governed by the UpToDate Terms of Use ©2017 UpToDate, Inc.References- Soubra A, Hayward D, Dahm P, et al. The diagnostic accuracy of 18F-fluorodeoxyglucose positron emission tomography and computed tomography in staging bladder cancer: a single-institution study and a systematic review with meta-analysis. World J Urol 2016; 34:1229.
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