What are the EAU guidelines for staging muscle-invasive bladder tumors?

Updated: Feb 23, 2021
  • Author: Kara N Babaian, MD, FACS; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

For muscle-invasive bladder cancer (MIBC), EAU guidelines recommend the following [144] :

  • In patients with confirmed MIBC, use computed tomography (CT) of the chest, abdomen, and pelvis as the optimal form of staging.
  • For upper tract evaluation and for staging, perform CT urography; use diagnostic ureteroscopy and biopsy only in cases where additional information will impact treatment decisions.
  • Use magnetic resonance urography when CT urography is contraindicated for reasons related to contrast administration or radiation dose.
  • Use CT or magnetic resonance imaging (MRI) for staging locally advanced or metastatic disease in patients in whom radical treatment is considered.
  • Use CT to diagnose pulmonary metastases. CT and MRI are generally equivalent for diagnosing local disease and distant metastases in the abdomen.

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