Current Opinion on the Therapeutic Algorithm for Bladder Cancer in COVID-19 era

According to the European Association of Urology (EAU), bladder cancer (BC) is the 11th most frequent cancer in the world, affecting almost 5 times more men than women. Recommended procedures for NMIBC Ficarra et al. outlined the importance of transurethral resection of the bladder tumor (TUR-B) for...

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Published inRomanian journal of urology Vol. 19; no. 4; pp. 5 - 8
Main Authors Pop, Anca Maria, Petca, Răzvan-Cosmin, Nechifor-Boilă, Ioan Alin, Ghirca, Veronica, Bãlan, Daniel, Martha, Orsolya, Chibelean, Cãlin Bogdan
Format Journal Article
LanguageEnglish
Published Bucharest Romanian Journal of Urology 01.10.2020
Subjects
Bladder cancer
Cancer therapies
Chemotherapy
Coronaviruses
COVID-19 vaccines
Intensive care
Medical prognosis
Mortality
Pandemics
Patients
Severe acute respiratory syndrome coronavirus 2
Urology
Italy
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Summary:According to the European Association of Urology (EAU), bladder cancer (BC) is the 11th most frequent cancer in the world, affecting almost 5 times more men than women. Recommended procedures for NMIBC Ficarra et al. outlined the importance of transurethral resection of the bladder tumor (TUR-B) for highrisk NMIBC patients, as the postponing of the surgical approach allows for disease progression, which might completely change the management of such cases, with negative implications on the prognosis and life quality. [...]the authors consider that also the adjuvant intravesical therapy with bacillus CalmetteGuérin (BCG) or chemotherapy should not be postponed. An interesting hypothesis remains whether the BCG instillations could increase the immunity of these oncological patients against COVID-19. [...]there are patients already included in the BCG maintenance therapy less vulnerable in front of SARS-CoV-2, compared to patients who should now start the BCG induction therapy? Recommended procedures for MIBC and metastatic BC Regarding the surgical approach during the actual pandemic for MIBC, Ficarra et al. consider that radical cystectomy (RC) and urinary diversion are non-deferrable procedures [3]. [...]Wang et al. published a similar framework in the effort to establish the priority staging for MIBC treatments.
ISSN:1842-2187