What are the NCCN recommendations for the treatment of T1 (low- and high-grade) 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

NCCN recommendations for treatment of T1 tumors (low- and high-grade) are as follows [1] :

  • Repeat TURBT

  • If no residual disease after second resection, immunotherapy with BCG (category 1 recommendation)

  • If residual disease after second resection, immunotherapy with BCG (category 1 recommendation), especially if the disease is Ta high grade or carcinoma in situ

  • Consider cystectomy for T1 high grade and cystectomy for any patients upstaged to T2


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