Preoperative imaging for locoregional staging of bladder cancer

Journal Article · Sun Dec 15 04:00:00 EST 2019 · Abdominal Radiology (Online)

DOI:https://doi.org/10.1007/S00261-019-02168-Z· OSTI ID:22925004

Mirmomen, S. Mojdeh ^[1]; Shinagare, Atul B.; Williams, Kristin E. ^[2]; Silverman, Stuart G. ^[3]

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1. National Institutes of Health, Radiology and Imaging Sciences, Clinical Center (United States)
2. Dana-Farber Cancer Institute (United States)
3. Brigham and Women’s Hospital, Department of Radiology (United States)

Bladder cancer is the ninth most common cancer, expected to lead to an estimated 17,670 deaths in the United States in 2019. Clinical management and prognosis of bladder cancer mainly depend on the extent of locoregional disease, particularly whether bladder muscle is involved. Therefore, bladder cancer is often divided into superficial, non-muscle-invasive bladder cancer and muscle-invasive bladder cancer; the latter often prompts consideration for cystectomy. While precise staging prior to cystectomy is crucial, the optimal preoperative imaging modality used to stage the disease remains controversial. Transurethral resection of bladder tumor (TURBT) followed by computed tomography (CT) urography is the current recommended approach for staging bladder cancer but suffers from a high rate of understaging. We review the recent literature and compare different imaging modalities for assessing the presence of muscle invasion and lymph node involvement prior to cystectomy and highlight the advantages of each modality.

• OSTI ID: 22925004
• Journal Information: Abdominal Radiology (Online), Journal Name: Abdominal Radiology (Online) Journal Issue: 12 Vol. 44; ISSN 2366-0058
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BLADDER
DEATH
LYMPH NODES
NEOPLASMS
POSITRON COMPUTED TOMOGRAPHY
REVIEWS
USA