Linee Guida COP - Casettagiovanni.it

• In previsione di un trattamento radicale, l'esame dovrebbe essere condotto prima di qualunquemanovra chirurgica.• La RMN è di poco superiore alla TC per la definizione dello stadio locale e perivescicale di malattia.• La SO va eseguita solo nei pazienti con segni e sintomi di interessamento osseo. Le lesionisospette vanno confermate mediante RMN.BibliografiaBarentsz JO, Jager GJ, Witjes JA, et al. Primary staging of urinary bladder carcinoma: The role of MRI anda comparison with CT. Eur Radiol 1996;6:129-33.Braendengen M, Winderen M, Fossa SD: Clinical significance of routine pre-cystectomy bone scans inpatients with muscle-invasive bladder cancer. Br J Urol 1996;77:36-40.Davey P, Merrick MV, Duncan W, Redpath AT: Bladder cancer: The value of routine bone scintigraphy. ClinRadiol 1985;36:77-79.Deserno WM, Harisinghani MG, Taupitz M, et al. Urinary bladder cancer: preoperative nodal staging withferumoxtran-10-enhanced MR imaging. Radiology 2004;233:449-56.Freeman JA, Esrig DE, Stein JP, et al. Radical cystectomy for high risk patients with superficial bladder cancerin the era of orthotopic urinary reconstruction. Cancer. 1995;76:833-839.Hopkins SC, Ford KS, Soloway MS. Invasive bladder cancer: support for screening. J Urol. 1983;130:61-64.Jewett HJ, Strong GH. Infiltrating carcinoma of the bladder: relation of depth of penetration of the bladderwall to incidence of local extension andmetastases. J Urol. 1946;55:366-372.Kaye KW, Lange PH. Mode of presentation of invasive bladder cancer: reassessment of the problem. J Urol.1982;128:31-33.Kim B, Semelka RC, Ascher SM, et al. Bladder tumor staging: Comparison of contrast-enhanced CT, T1-and T2-weighted MR imaging, dynamic gadolinium-enhanced imaging, and late gadolinium-enhancedimaging. Radiology 1994;193:239-45.Kim JK, Park SY, Ahn HJ, et al. Bladder cancer: Analysis of multi-detector row helical CT enhancement patternand accuracy in tumor detection and perivesical staging. Radiology 2004;231:725-31.Messing EM. De novo muscle invasive bladder cancer: is there a change in trend [editorial comment]? JUrol. 2001;165:50.Shellak F. Reference manual for magnetic resonance safety: 2003 ed Salt Lake City (UT): Amyrsis, Inc;2003.Swimmen et al. FDG-PET/CT for the Preoperative Lymph Node Staging of Invasive Bladder Cancer. EurUrol, 2009 epub.Tekes A, Kamel I, Imam K, et al. Dynamic MRI of bladder cancer: Evaluation of staging accuracy. AJR2005;184: 121-7.Vaidya A, Soloway M, Hawke C, et al. De novo muscle invasive bladder cancer: is there a change in trend?J Urol. 2001; 165:47-50; discussion, 50.223