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Bladder Cancer: Diagnosis and Evaluation
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=== Transurethral Resection of Bladder Tumor (TURBT) === * '''See [[Transurethral Resection of Bladder Tumour]] Chapter Notes''' *Patients found to have a bladder tumour should undergo initial TURBT for diagnostic confirmation and pathological evaluation *'''An adequate TURBT requires complete resection of all visible tumor with adequate sampling of the bladder to assess the depth of invasion''' ** '''Initial TURBT aims for complete tumour resection + sampling of the underlying detrusor muscle''' as the first step of curative-intent treatment of NMIBC *** Sampling of detrusor muscle is an important quality indicator (in tumours other than PUNLMP, LG Ta, and CIS), and its absence is associated with risk of under-staging, residual disease, and recurrence *** '''Patients with presumed TaLG or CIS might be spared from muscle sampling at initial TURBT'''
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