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Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
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Urinary Tract Calculi III: Medical Management01:30

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The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
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Urinary Tract Calculi V: Nursing Management01:28

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AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
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The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
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Magnetic Resonance Imaging Assessment of Carcinogen-induced Murine Bladder Tumors
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[French ccAFU guidelines - update 2020-2022: bladder cancer].

M Rouprêt1, G Pignot2, A Masson-Lecomte3

  • 1Comité de cancérologie de l'Association française d'urologie, groupe vessie, Maison de l'urologie, 11, rue Viète, 75017 Paris, France; Sorbonne Université, GRC n° 5, Predictive onco-uro, AP-HP, hôpital Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|December 22, 2020
PubMed
Summary
This summary is machine-generated.

Updated French guidelines provide a roadmap for managing non-muscle invasive bladder cancer (NMIBC) and muscle-invasive bladder cancer (MIBC). These evidence-based recommendations cover diagnosis, risk stratification, and treatment options to improve patient outcomes.

Keywords:
BCGBladderBladder neoplamsCancerCystectomieCystectomyCytologie urinaireCytologyMedical Subject Headings (MeSH) Carcinome urothélialMedical Subject Headings (MeSH) Urothelial carcinomaSurvieSurvivalTumeurs de la vessieVessie

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Area of Science:

  • Uro-oncology
  • Oncology
  • Nephrology

Background:

  • Bladder cancer management requires updated guidelines.
  • Current treatment strategies for non-muscle invasive bladder cancer (NMIBC) and muscle-invasive bladder cancer (MIBC) need refinement.
  • Evidence-based recommendations are crucial for optimizing patient care.

Purpose of the Study:

  • To update French guidelines for bladder cancer management.
  • Specifically focusing on non-muscle invasive bladder cancer (NMIBC) and muscle-invasive bladder cancer (MIBC).
  • To provide evidence-based recommendations for diagnosis, treatment, and follow-up.

Main Methods:

  • Conducted a Medline search from 2018-2020.
  • Evaluated references on bladder cancer diagnosis, treatment options, and follow-up.
  • Assessed evidence levels for different management strategies.

Main Results:

  • NMIBC diagnosis relies on deep tumor resection; fluorescence and second-look procedures enhance accuracy.
  • EORTC score aids in risk stratification for adjuvant therapies (chemotherapy, intravesical BCG).
  • MIBC management includes CT/MRI for staging, radical cystectomy with lymph node dissection, neoadjuvant chemotherapy, and urinary diversion; immunotherapy shows promise in metastatic settings.

Conclusions:

  • Updated French guidelines aim to elevate the standard of urological care for NMIBC and MIBC patients.
  • Implementation of these guidelines will improve diagnosis and treatment efficacy.
  • Continuous evaluation of evidence ensures optimal bladder cancer management.