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Current and innovative approaches in the treatment of non-muscle invasive bladder cancer: the role of transurethral resection of bladder tumor and organoids.

Title: Current and innovative approaches in the treatment of non-muscle invasive bladder cancer: the role of transurethral resection of bladder tumor and organoids.
Authors: Taskovska M; Department of Urology, University Medical Centre Ljubljana, Ljubljana, Slovenia.; Department of Surgery, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.; Kreft ME; Institute for Cell Biology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.; Smrkolj T; Department of Urology, University Medical Centre Ljubljana, Ljubljana, Slovenia.; Department of Surgery, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Source: Radiology and oncology [Radiol Oncol] 2020 May 02; Vol. 54 (2), pp. 135-143. Date of Electronic Publication: 2020 May 02.
Publication Type: Journal Article; Review
Language: English
Journal Info: Publisher: Sciendo Country of Publication: Poland NLM ID: 9317213 Publication Model: Electronic Cited Medium: Internet ISSN: 1581-3207 (Electronic) Linking ISSN: 13182099 NLM ISO Abbreviation: Radiol Oncol Subsets: MEDLINE
Imprint Name(s): Publication: [Warsaw, Poland] : Sciendo; Original Publication: Ljubljana : Slovenian Medical Society, Section of Radiology [and] Croatian Medical Association, Croatian Society of Radiology, [1992-
MeSH Terms: Organoids*/cytology ; Organoids*/growth & development ; Organoids*/pathology; Antineoplastic Agents/*administration & dosage ; Electrocoagulation/*methods ; Immunotherapy/*methods ; Urinary Bladder Neoplasms/*therapy; BCG Vaccine/administration & dosage ; Chemotherapy, Adjuvant/methods ; Neoplasm Recurrence, Local/prevention & control ; Neoplasm Staging/classification ; Urinary Bladder Neoplasms/diagnosis ; Urinary Bladder Neoplasms/genetics ; Urinary Bladder Neoplasms/pathology ; Administration, Intravesical ; Adult Stem Cells ; Artifacts ; Cell Line, Tumor ; Cell Transformation, Neoplastic ; Female ; Humans ; Male ; Neoplasm, Residual ; Pluripotent Stem Cells
Abstract: Background Bladder cancer is the 7th most common cancer in men. About 75% of all bladder cancer are non-muscle invasive (NMIBC). The golden standard for definite diagnosis and first-line treatment of NMIBC is transurethral resection of bladder tumour (TURB). Historically, the monopolar current was used first, today bipolar current is preferred by most urologists. Following TURB, depending on the tumour grade, additional intravesical chemo- or/and immunotherapy is indicated, in order to prevent recurrence and need for surgical resection. Development of new technologies, molecular and cell biology, enabled scientists to develop organoids - systems of human cells that are cultivated in the laboratory and have characteristics of the tissue from which they were harvested. In the field of urologic cancers, the organoids are used mainly for studying the course of different diseases, however, in the field of bladder cancer the data are scarce. Conclusions Different currents - monopolar and bipolar, have different effect on urothelium, that is important for oncological results and pathohistological interpretation. Specimens of bladder cancer can be used for preparation of organoids that are further used for studying carcinogenesis. Bladder organoids are step towards personalised medicine, especially for testing effectiveness of chemo-/immunotherapeutics.
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Contributed Indexing: Keywords: BCG; bladder cancer; mitomycin C; monopolar/bipolar current; organoids; transurethral resection of bladder tumour
Substance Nomenclature: 0 (Antineoplastic Agents); 0 (BCG Vaccine)
Entry Date(s): Date Created: 20200507 Date Completed: 20210712 Latest Revision: 20240729
Update Code: 20260130
PubMed Central ID: PMC7276645
DOI: 10.2478/raon-2020-0025
PMID: 32374292
Database: MEDLINE

Journal Article; Review