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- W2071450015 abstract "Le traitement de référence recommandé pour les patients chez qui a été diagnostiquée une tumeur de vessie n’infiltrant pas le muscle (TVNIM) à haut risque est le Bacille de Calmette-Guérin (BCG) par instillations endovésicales. Néanmoins, la cystectomie peut parfois être indiquée. En effet, certains critères de mauvais pronostics cliniques, endoscopiques et histologiques peuvent permettre d’identifier des patients à très haut risque pour lesquels la cystectomie totale d’emblée doit être discutée. Par ailleurs, en cas d’échec avéré du BCG, la cystectomie reste le traitement de référence. Dans les deux cas (précoce avant BCG ou après échec du BCG), cette chirurgie d’exérèse doit être réalisée sans délai car le risque de progression est majeur et la réalisation de la cystectomie ne souffre aucun délai lorsque son indication est posée. The reference treatment recommended for patients who have been diagnosed with a high-risk nonmuscle-invasive bladder cancer (NMIBC) is bacille Calmette-Guérin (BCG) therapy through intravesical instillations. Nevertheless, cystectomy can sometimes be indicated. Some of the clinical, endoscopic, and histological criteria indicating poor prognosis can identify very high-risk patients for whom immediate total cystectomy should be discussed. In addition, in cases of clear BCG treatment failure, cystectomy remains the reference treatment. In both cases (early, before BCG treatment, or after BCG treatment failure), this excision therapy should be practiced rapidly because the risk of progression is high and cystectomy tolerates no delay when indicated." @default.
- W2071450015 created "2016-06-24" @default.
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- W2071450015 date "2008-05-01" @default.
- W2071450015 modified "2023-09-28" @default.
- W2071450015 title "Tumeurs de vessie n’infiltrant pas le muscle de haut grade (TVNIM): quand cystectomiser ?" @default.
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- W2071450015 doi "https://doi.org/10.1016/s1166-7087(08)72487-4" @default.
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