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摘要

There are 2 major issues related to the treatment of large bladder tumors: the often difficult to find small size satellite or concomitant lesion (usually Stage pTa and carcinoma in situ) and the sometimes challenging endoscopic removal of the large size tumor bulk.Although standard white light cystoscopy was described as a rather blunt tool for achieving an accurate detection of flat or small papillary tumors, narrow band imaging (NBI) cystoscopy has begun to show significant progress concerning the diagnostic accuracy of nonmuscle-invasive bladder tumor detection, of course requiring further confirmation. The present study followed this perspective and emphasized improved tumor detec-tion specific to NBI cystoscopy, which later translated into a significantly lower medium-term recurrence rate.
机译:与膀胱大肿瘤的治疗有关的主要问题有两个:通常难以找到小尺寸的卫星或伴发病变(通常为pTa期和原位癌),有时内镜下切除大尺寸的肿瘤块颇具挑战性。轻型膀胱镜被描述为用于精确检测扁平或小乳头状肿瘤的较钝工具,窄带成像(NBI)膀胱镜已开始显示出与非肌肉浸润性膀胱肿瘤检测的诊断准确性有关的重大进展,当然还需要进一步的研究确认。本研究遵循了这一观点,并强调改善了NBI膀胱镜检查所特有的肿瘤检测,后来转化为明显降低的中期复发率。

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