What are the EAU recommendations for the adjuvant treatment of Ta and T1 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

The EAU recommendations for adjuvant treatment of Ta and T1 tumors are as follows [69] :

  • Low-risk Ta tumors: One immediate instillation of chemotherapy as the complete adjuvant treatment

  • Intermediate-risk Ta or T1 tumors: One immediate instillation of chemotherapy, followed by 1 year of full-dose BCG treatment, or by further instillation of chemotherapy for a maximum of 1 year

  • High-risk tumors: Full-dose intravesical BCG for 1-3 years or radical cystectomy

  • T1 high grade and concurrent CIS: Consider cystectomy

  • BCG-refractory tumors: Cystectomy; bladder-preserving strategies in patients not suitable for or refusing radical cystectomy


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