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Difference between revisions of "Bladder cancer staging"
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[[Image:Diagram showing the T stages of bladder cancer CRUK 372.svg|thumb|right|180px|Schematic showing the T stages in bladder cancer. (WC/CRUK)]] | [[Image:Diagram showing the T stages of bladder cancer CRUK 372.svg|thumb|right|180px|Schematic showing the T stages in bladder cancer. (WC/CRUK)]] | ||
The article deals with '''bladder cancer staging'''. A general discussion | The article deals with '''bladder cancer staging'''. A general discussion about staging is found in ''[[cancer staging]]''. | ||
==General== | ==General== | ||
| Line 11: | Line 11: | ||
! T stage | ! T stage | ||
! Criteria | ! Criteria | ||
|- | |- | ||
| Ta | | Ta | ||
| non-invasive papillary carcinoma | | non-invasive papillary carcinoma | ||
|- | |- | ||
| Tis | | Tis | ||
| [[urothelial carcinoma in situ|carcinoma in situ]] | | [[urothelial carcinoma in situ|carcinoma in situ]] | ||
|- | |- | ||
| T1 | | T1 | ||
| lamina propria invasion | | lamina propria invasion | ||
|- | |- | ||
| T2 | | T2 | ||
| muscularis propria invasion | | muscularis propria invasion | ||
|- | |- | ||
| T3a | | T3a | ||
| microscopic extravesicular invasion | | microscopic extravesicular invasion | ||
|- | |- | ||
| T3b | | T3b | ||
| macroscopic extravesicular invasion | | macroscopic extravesicular invasion | ||
|- | |- | ||
| T4a | | T4a | ||
| extension into the uterus, vagina or prostate | | extension into the uterus, vagina or prostate | ||
|- | |- | ||
| T4b | | T4b | ||
| extension into the abdominal wall or pelvic wall | | extension into the abdominal wall or pelvic wall | ||
|} | |} | ||
Notes: | |||
*The most important distinction is between T1 and T2. This is dealt with in the ''[[muscularis propria invasion in the urinary bladder]]'' article. | |||
**T2 is typically managed with a [[radical cystectomy]] or [[radical cystoprostatectomy]]. | |||
*Upstaging based on cystectomy/cytoprostatectomy pathology common - range 20-80%.<ref name=pmid22321341>{{Cite journal | last1 = Turker | first1 = P. | last2 = Bostrom | first2 = PJ. | last3 = Wroclawski | first3 = ML. | last4 = van Rhijn | first4 = B. | last5 = Kortekangas | first5 = H. | last6 = Kuk | first6 = C. | last7 = Mirtti | first7 = T. | last8 = Fleshner | first8 = NE. | last9 = Jewett | first9 = MA. | title = Upstaging of urothelial cancer at the time of radical cystectomy: factors associated with upstaging and its effect on outcome. | journal = BJU Int | volume = 110 | issue = 6 | pages = 804-11 | month = Sep | year = 2012 | doi = 10.1111/j.1464-410X.2012.10939.x | PMID = 22321341 }}</ref> | |||
===Nodes=== | ===Nodes=== | ||
{| class="wikitable sortable" | {| class="wikitable sortable" | ||
| Line 51: | Line 48: | ||
|- | |- | ||
| N1 | | N1 | ||
| one regional lymph node metastasis | | one regional [[lymph node metastasis]] | ||
|- | |- | ||
| N2 | | N2 | ||