BCG-unresponsive non-muscle invasive bladder cancer: recommendations from the IBCG

被引:103
|
作者
Kamat, Ashish M. [1 ]
Colombel, Marc [2 ]
Sundi, Debasish [1 ]
Lamm, Donald [3 ,4 ]
Boehle, Andreas [5 ]
Brausi, Maurizio [6 ]
Buckley, Roger [7 ]
Persad, Raj [8 ,9 ]
Palou, Joan [10 ]
Soloway, Mark [11 ]
Witjes, J. Alfred [12 ]
机构
[1] MD Anderson Canc Ctr, Dept Urol, 1515 Holcombe Blvd,Unit 1373, Houston, TX 77054 USA
[2] Univ Claude Bernard, Hop Edouard Herriot, Dept Urol, Urol Pavillon 5,5 Pl Arsonval, F-69003 Lyon, France
[3] Univ Arizona, Dept Surg, 3815 East Bell Rd,Suite 1210, Phoenix, AZ 85032 USA
[4] BCG Oncol, 3815 East Bell Rd,Suite 1210, Phoenix, AZ 85032 USA
[5] HELIOS Agnes Karll Hosp, Dept Urol, Hochkamp 21, D-23611 Bad Schwartau, Germany
[6] B Ramazzini Hosp, AUSL Modena, Dept Urol, Via G Molinari 1, I-41012 Carpi Modena, Italy
[7] North York Gen Hosp, Dept Urol, 1333 Sheppard Ave East,Suite 222, N York, ON M2J 1V1, Canada
[8] Southmead Hosp, Dept Urol Surg, Brunel Bldg,Southmead Rd, Bristol BS10 5NB, Avon, England
[9] Bristol Urol Inst, Brunel Bldg,Southmead Rd, Bristol BS10 5NB, Avon, England
[10] Univ Autonoma Barcelona, Fundacio Puigvert, Dept Urol, Carrer Cartagena 340-350, Barcelona 08025, Spain
[11] Mem Hlth Syst, Mem Canc Inst, Div Urol Oncol, 20801 Biscayne Blvd,Suite 203, Aventura, FL 33180 USA
[12] Radboud Univ Nijmegen, Med Ctr, Dept Urol, POB 9101, NL-6500 HGB Nijmegen, Netherlands
关键词
BACILLUS-CALMETTE-GUERIN; CARCINOMA IN-SITU; TRANSITIONAL-CELL CARCINOMA; PHASE-II TRIAL; RANDOMIZED CONTROLLED-TRIAL; SOUTHWEST-ONCOLOGY-GROUP; SINGLE-CENTER EXPERIENCE; MITOMYCIN-C; UROTHELIAL CARCINOMA; ELECTROMOTIVE MITOMYCIN;
D O I
10.1038/nrurol.2017.16
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Intravesical immunotherapy with live attenuated BCG remains the standard of care for patients with high-risk and intermediate-risk non-muscle-invasive bladder cancer (NMIBC). Most patients initially respond, but recurrence is frequent and progression to invasive cancer is a concern. No established and effective intravesical therapies are available for patients whose tumours recur after BCG, representing a clinically important unmet need. Development and discovery of treatment options for BCG-unresponsive NMIBC is a high priority in order to decrease the morbidity, burden of health-care expenditures, and mortality related to bladder cancer. This Review of treatment options after BCG failure focuses on principles of optimal management emerging therapies, thus enabling a synthesis of recommendations for management for such patients.
引用
收藏
页码:244 / 255
页数:12
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