The role of a second transurethral resection for high-grade bladder cancer.
High-grade, non-muscle-invasive bladder cancer poses many difficult diagnostic and therapeutic challenges. The superficial, yet high-risk, nature of disease progression exemplifies the unique behavior of this form of bladder cancer. An adjunct to managing this difficult problem is a second staging transurethral resection of the bladder tumor (TURBT). This article reviews the pros and cons of a second staging TURBT and how it may impact the management of high-grade, low-stage superficial bladder cancer.
Langenstroer
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Department of Surgery, Division of Urology, Medical College of Wisconsin, 9200 West Wisconsin Ave., Milwaukee, WI 53226, USA. plang@mcw.edu
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D006801:Humans; D009367:Neoplasm Staging; D012086:Reoperation; D001749:Urinary Bladder Neoplasms / Q000473:pathology* / Q000601:surgery*