What are the NCCN diagnostic guidelines for muscle-invasive bladder cancer?

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

If cystoscopy indicates muscle-invasive disease, the NCCN guidelines recommend the following [1] :

  • Complete blood count and chemistry profile including alkaline phosphatase
  • Chest imaging
  • Imaging of the upper tract collecting system
  • Abdominal/pelvic CT or MRI before TURBT
  • Bone scan if alkaline phosphatase level is elevated or patient is symptomatic with bone pain 

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