【摘要】 T1G3膀胱癌有高复发和进展倾向,选择恰当的治疗方法成为难题。使用BCG治疗可促肿瘤进展和转移,但可保留膀胱。膀胱切除也许提供了最好的治疗方案,但膀胱切除仍会复发且具有手术风险,且被认为是过度治疗。此文从哲学角度来探讨T1G3膀胱癌的治疗方法,以便为临床实践和进一步的研究提供思路。更多还原

【Abstract】 High-grade T1 lesions(T1G3) bladder cancer has a high propensity to recur and progress.As a result,decisions pertaining to its treatment are difficult.Treatment with bacillus Calmette-Guerin(BCG) risks progression and metastases but may preserve the bladder.Cystectomy may offer the best opportunity for cure but is associated with morbidity and a risk of mortality,and it may constitute potential overtreatment for many cases of T1G3 tumors.In the philosophic point of view,the focus of treatment was provided for further research.更多还原