Authors: | Bochner, B. H.; Montie, J. E.; Lee, C. T. |
Article Title: | Follow-up strategies and management of recurrence in urologic oncology bladder cancer: Invasive bladder cancer |
Abstract: | A surveillance program following cystectomy should consider a patient's individual risk for the development of local and distant recurrences and any specific needs related to the urinary tract reconstruction performed (Table 1). Well-documented recurrence patterns following cystectomy are available from many large surgical series and provide the background information needed for tailoring follow-up based on pathologic criteria. Economic issues also must be considered, given that the health care-related expenses of treating and following patients with bladder cancer is twice as much as that expended for the treatment of prostate cancer. Because of the ever-increasing fiscal constraints placed on clinicians, risk-adjusted follow-up strategies are reasonable, but will require prospective evaluation to validate their appropriateness. |
Keywords: | cancer chemotherapy; cancer survival; treatment outcome; cancer surgery; surgical technique; review; cancer localization; cancer recurrence; plastic surgery; cisplatin; doxorubicin; cancer growth; patient selection; side effect; gemcitabine; paclitaxel; cancer adjuvant therapy; methotrexate; cancer staging; nuclear magnetic resonance imaging; positron emission tomography; recurrence risk; follow up; antineoplastic agent; cancer diagnosis; pelvis lymph node; laparoscopic surgery; preoperative evaluation; cancer palliative therapy; cytology; cancer susceptibility; cancer immunotherapy; metastasis; computer assisted tomography; neoplasm recurrence, local; pelvis lymphadenectomy; tumor biopsy; bladder cancer; urinary bladder neoplasms; ifosfamide; vinblastine; high risk patient; docetaxel; postoperative complication; prophylaxis; cystectomy; urinary diversion; nephroureterectomy; invasive carcinoma; urogenital tract tumor; malabsorption; ureter; endoscopy; transitional cell carcinoma; metabolic disorder; non invasive measurement; electrolyte disturbance; cyanocobalamin; bladder neck; colostomy; urolithiasis; intravenous pyelography; retrograde pyelography; metabolic acidosis; megaloblastic anemia; humans; prognosis; human; male; priority journal; ureterectomy |
Journal Title: | Urologic Clinics of North America |
Volume: | 30 |
Issue: | 4 |
ISSN: | 0094-0143 |
Publisher: | W.B. Saunders Co-Elsevier Inc. |
Date Published: | 2003-11-01 |
Start Page: | 777 |
End Page: | 789 |
Language: | English |
DOI: | 10.1016/s0094-0143(03)00061-2 |
PUBMED: | 14680314 |
PROVIDER: | scopus |
DOI/URL: | |
Notes: | Export Date: 25 September 2014 -- Source: Scopus |