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Swedish National Gu...
Swedish National Guidelines on Urothelial Carcinoma: 2021 update on non-muscle invasive bladder cancer and upper tract urothelial carcinoma
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- Liedberg, Fredrik (author)
- Lund University,Lunds universitet,Urologi - blåscancer, Malmö,Forskargrupper vid Lunds universitet,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Urinblåsecancer,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Urology - urothelial cancer, Malmö,Lund University Research Groups,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Urothelial cancer,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital
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- Kjellstrom, S. (author)
- Department of Oncology, Skåne University Hospital, Sweden,Skane Univ Hosp, Dept Oncol, Malmö, Sweden
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- Lind, A. K. (author)
- Department of Urology, Skåne University Hospital, Malmö, Sweden; Department of Translational Medicine, Lund University, Malmö, Sweden,Skane Univ Hosp, Dept Urol, Malmö, Sweden.;Lund Univ, Dept Translat Med, Jan Waldenstroms Gata 7, SE-20502 Malmö, Sweden
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- Sherif, Amir (author)
- Umeå University,Umeå universitet,Urologi och andrologi,Umeå Univ, Dept Surg & Perioperat Sci, Urol & Androl, Umeå, Sweden
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- Söderkvist, Karin (author)
- Umeå University,Umeå universitet,Onkologi,Umeå Univ, Dept Radiat Sci, Umeå, Sweden
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- Falkman, K. (author)
- Department of Urology, Södersjukhuset, Stockholm, Sweden,Soder Sjukhuset, Dept Urol, Stockholm, Sweden,Stockholm South General Hospital
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- Thulin, H. (author)
- Karolinska Institutet
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- Aljabery, Firas (author)
- Linköping University,Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Urologiska kliniken i Östergötland,Linköping Univ, Dept Clin & Expt Med, Div Urol, Linköping, Sweden
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- Papantonio, D. (author)
- Department of Oncology, Ryhov County Hospital, Jönköping, Sweden,Ryhov Cty Hosp, Dept Oncol, Jönköping, Sweden
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- Ströck, Viveka (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för urologi,Institute of Clinical Sciences, Department of Urology,Department of Urology, Sahlgrenska University Hospital, Gothenburg, Sweden; Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden,Univ Gothenburg, Sahlgrenska Univ Hosp, Dept Urol, Gothenburg, Sweden.;Univ Gothenburg, Sahlgrenska Acad, Inst Clin Sci, Gothenburg, Sweden
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- Ofverholm, E. (author)
- Department of Oncology, Sahlgrenska University Hospital, Göteborg, Sweden,Sahlgrens Univ Hosp, Dept Oncol, Gothenburg, Sweden
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- Jerlström, Tomas, 1969- (author)
- Örebro University,Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Urology,Örebro Univ, Fac Med & Hlth, Sch Med Sci, Dept Urol, Örebro, Sweden
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- Sandzen, J. (author)
- Department of Oncology, Karlstad County Hospital, Karlstad, Sweden,Karlstad Cty Hosp, Dept Oncol, Karlstad, Sweden
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- Verbiene, Ingrida (author)
- Uppsala universitet,Experimentell och klinisk onkologi,Uppsala University Hospital
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- Ullen, A. (author)
- Karolinska Institutet
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(creator_code:org_t)
- 2022-02-28
- 2022
- English.
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In: Scandinavian Journal of Urology. - : Medical Journals Sweden AB. - 2168-1805 .- 2168-1813. ; 56:2, s. 137-146
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Abstract
Subject headings
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- Objective: To overview the updated Swedish National Guidelines on Urothelial Carcinoma 2021, with emphasis on non-muscle-invasive bladder cancer (NMIBC) and upper tract urothelial carcinoma (UTUC). Methods: A narrative review of the updated version of the Swedish National Guidelines on Urothelial Carcinoma 2021 and highlighting new treatment recommendations, with comparison to the European Association of Urology (EAU) guidelines and current literature. Results: For NMIBC the new EAU 2021 risk group stratification has been introduced for non-muscle invasive bladder cancer to predict risk of progression and the web-based application has been translated to Swedish (https://nmibc.net.). For patients with non-BCG -responsive disease treatment recommendations have been pinpointed, to guide patient counselling in this clinical situation. A new recommendation in the current version of the guidelines is the introduction of four courses of adjuvant platinum-based chemotherapy to patients with advanced disease in the nephroureterectomy specimen (pT2 or higher and/or N+). Patients with papillary urothelial neoplasms with low malignant potential (PUNLMP) can be discharged from follow-up already after 3 years based on a very low subsequent risk of further recurrences. Conclusions: The current version of the Swedish national guidelines introduces a new risk-stratification model and follow-up recommendation for NMIBC and adjuvant chemotherapy after radical surgery for UTUC.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
Keyword
- Urothelial carcinoma
- Swedish national guidelines
- non-muscle invasive
- bladder cancer
- upper tract urothelial carcinoma
- lynch syndrome
- radical nephroureterectomy
- transurethral resection
- oncologic outcomes
- 2nd opinion
- management
- tumors
- recurrence
- carriers
- improve
- Urology & Nephrology
- Swedish national guidelines
- non-muscle invasive bladder cancer
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Liedberg, Fredri ...
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Kjellstrom, S.
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Lind, A. K.
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Sherif, Amir
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Söderkvist, Kari ...
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Falkman, K.
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Thulin, H.
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Aljabery, Firas
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Papantonio, D.
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Ströck, Viveka
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Ofverholm, E.
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Jerlström, Tomas ...
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Sandzen, J.
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Verbiene, Ingrid ...
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Ullen, A.
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Urology and Neph ...
- Articles in the publication
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Scandinavian Jou ...
- By the university
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University of Gothenburg
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Örebro University
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Umeå University
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Linköping University
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Uppsala University
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Lund University
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Karolinska Institutet
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