静脉BCG治疗:对放射科医生在腹部成像后续检查中的影响
Manisha Naganatanahalli1, Sohrab Afshari Mirak2, Vijayanadh Ojili3
1Department of Radiology, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106, USA.
Abdominal radiology (New York)
|December 12, 2024
概括
静脉注射Bacillus Calmette-Guérin (BCG) 疗法对非肌肉侵入性膀癌有效,但可能会引起副作用. 图像检查有助于诊断并发症,并监测癌症复发情况.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 非肌肉侵入性膀癌 (NMIBC) 需要有效的治疗.
- 肠道 Calmette-Guérin (BCG) 是NMIBC的一种标准疗法.
- 了解BCG的并发症和成像发现对于患者管理至关重要.
研究的目的:
- 对NMIBC进行静脉BCG治疗进行审查.
- 详细介绍BCG治疗的作用机制,剂量,成功和监测.
- 综合审查BCG相关的不良影响,重点关注腹腔盆腔并发症及其成像特征.
主要方法:
- 对NMIBC的静脉BCG治疗的文献综述.
- 分析常见和不常见的不良事件,包括生殖尿路和全身并发症.
- 图像检测结果与特定BCG并发症的相关性.
- 对BCG治疗后膀癌复发和进展率的审查.
主要成果:
- BCG疗法涉及对NMIBC进行静脉注射.
- 副作用的范围从化学囊炎 (大约. 35%) 导致罕见的血管并发症.
- 对各种并发症提供成像检查结果.
- 据报道,膀癌复发率和进展率分别为38.2%和9.8%.
结论:
- 静脉BCG是NMIBC的关键治疗方法,需要对副作用进行仔细监测.
- 放射性评估对于诊断BCG诱导的并发症至关重要.
- 在解释BCG治疗患者的成像时,广泛的差异诊断是必不可少的,考虑到潜在的癌症复发或进展.
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