Witjes - Figure 13
High-risk disease recommendation
FIG. 13: The highest risk patients are not specifically classified as such in the AUA guideline,[1] but it is recommended that they should be offered a second course of BCG, or (in fit patients) radical cystectomy may be considered. The EAU guidelines[2] give a stronger recommendation, for cystectomy as first treatment option in these patients.
References
Chang SS, Boorjian SA, Chou R, et al. Diagnosis and treatment of non-muscle invasive bladder cancer; unabridged version: American Urological Association (AUA)/Society of Urologic Oncology (SUO) guideline. Linthicum, MD: American Urological Association; 2016 https://www.auanet.org/documents/education/clinical-guidance/Non-Muscle-Invasive-Bladder-Cancer.pdf Accessed August 3, 2017.
Babjuk M, Böhle A, Burger M, et al. EAU Guidelines on Non-Muscle-invasive Urothelial Carcinoma of the Bladder: Update 2016. Eur Urol. 2017;71:447−61 http://dx.doi.org/10.1016/j.eururo.2016.05.041
