French AFU Cancer Committee Guidelines - Update 2022-2024: Non-muscle-invasive bladder cancer (NMIBC)

Y. Neuzillet; B. Pradère; E. Xylinas; Y. Allory; F. Audenet; Y. Loriot; A. Masson-Lecomte; M. Roumiguié; T. Seisen; O. Traxer; P. Leon; M. Roupret

doi:10.1016/j.purol.2022.08.006

French AFU Cancer Committee Guidelines - Update 2022-2024: Non-muscle-invasive bladder cancer (NMIBC)

Y. Neuzillet, B. Pradère, E. Xylinas, Y. Allory, F. Audenet, Y. Loriot, A. Masson-Lecomte, M. Roumiguié, T. Seisen, O. Traxer, P. Leon, M. Roupret

Research output: Contribution to journal › Article › peer-review

11 Citations (Scopus)

Abstract

Objective: To update the ccAFU recommendations for the management of bladder tumours that do not infiltrate the bladder muscle (NBMIC). Methods: A systematic review (Medline) of the literature from 2020 to 2022 was performed, taking account of the diagnosis, treatment options and surveillance of NMIBC, while evaluating the references with their levels of evidence. Results: The diagnosis of NMIBC (Ta, T1, CIS) is made after complete full-thickness tumour resection. The use of bladder fluorescence and the indication of a second look (4–6 weeks) help to improve the initial diagnosis. The EORTC score is used to assess the risk of recurrence and/or tumour progression. Through the stratification of patients in low, intermediate and high-risk categories, adjuvant treatment can be proposed: intravesical chemotherapy (immediate postoperative, initiation regimen) or BCG (initiation and maintenance regimen) instillations, or even the indication of cystectomy for BCG-resistant patients. Conclusion: Updating the ccAFU recommendations should contribute to improving patient management, as well as the diagnosis and treatment of NMIBC.

Translated title of the contribution	Recommandations du comité de cancérologie de l'Association Française d'Urologie - actualisation 2022-2024: tumeurs de la vessie n'infiltrant pas le muscle (TVNIM)
Original language	English
Pages (from-to)	1102-1140
Number of pages	39
Journal	Progres en Urologie
Volume	32
Issue number	15
DOIs	https://doi.org/10.1016/j.purol.2022.08.006
Publication status	Published - 1 Nov 2022

Keywords

BCG
Bladder
Bladder tumours
Cancer
Cystectomy
Survival
Urine cytology
Urothelial carcinoma

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10.1016/j.purol.2022.08.006

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title = "French AFU Cancer Committee Guidelines - Update 2022-2024: Non-muscle-invasive bladder cancer (NMIBC)",

abstract = "Objective: To update the ccAFU recommendations for the management of bladder tumours that do not infiltrate the bladder muscle (NBMIC). Methods: A systematic review (Medline) of the literature from 2020 to 2022 was performed, taking account of the diagnosis, treatment options and surveillance of NMIBC, while evaluating the references with their levels of evidence. Results: The diagnosis of NMIBC (Ta, T1, CIS) is made after complete full-thickness tumour resection. The use of bladder fluorescence and the indication of a second look (4–6 weeks) help to improve the initial diagnosis. The EORTC score is used to assess the risk of recurrence and/or tumour progression. Through the stratification of patients in low, intermediate and high-risk categories, adjuvant treatment can be proposed: intravesical chemotherapy (immediate postoperative, initiation regimen) or BCG (initiation and maintenance regimen) instillations, or even the indication of cystectomy for BCG-resistant patients. Conclusion: Updating the ccAFU recommendations should contribute to improving patient management, as well as the diagnosis and treatment of NMIBC.",

keywords = "BCG, Bladder, Bladder tumours, Cancer, Cystectomy, Survival, Urine cytology, Urothelial carcinoma",

author = "Y. Neuzillet and B. Prad{\`e}re and E. Xylinas and Y. Allory and F. Audenet and Y. Loriot and A. Masson-Lecomte and M. Roumigui{\'e} and T. Seisen and O. Traxer and P. Leon and M. Roupret",

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T2 - Non-muscle-invasive bladder cancer (NMIBC)

AU - Neuzillet, Y.

AU - Pradère, B.

AU - Xylinas, E.

AU - Allory, Y.

AU - Audenet, F.

AU - Loriot, Y.

AU - Masson-Lecomte, A.

AU - Roumiguié, M.

AU - Seisen, T.

AU - Traxer, O.

AU - Leon, P.

AU - Roupret, M.

PY - 2022/11/1

Y1 - 2022/11/1

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AB - Objective: To update the ccAFU recommendations for the management of bladder tumours that do not infiltrate the bladder muscle (NBMIC). Methods: A systematic review (Medline) of the literature from 2020 to 2022 was performed, taking account of the diagnosis, treatment options and surveillance of NMIBC, while evaluating the references with their levels of evidence. Results: The diagnosis of NMIBC (Ta, T1, CIS) is made after complete full-thickness tumour resection. The use of bladder fluorescence and the indication of a second look (4–6 weeks) help to improve the initial diagnosis. The EORTC score is used to assess the risk of recurrence and/or tumour progression. Through the stratification of patients in low, intermediate and high-risk categories, adjuvant treatment can be proposed: intravesical chemotherapy (immediate postoperative, initiation regimen) or BCG (initiation and maintenance regimen) instillations, or even the indication of cystectomy for BCG-resistant patients. Conclusion: Updating the ccAFU recommendations should contribute to improving patient management, as well as the diagnosis and treatment of NMIBC.

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KW - Cystectomy

KW - Survival

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French AFU Cancer Committee Guidelines - Update 2022-2024: Non-muscle-invasive bladder cancer (NMIBC)

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