cancer vejiga

Question 1

clasificioens de grados de ca vesical

Answer 1

1973
-G1
-G2-G3

2004/2022(OMS)
-urothelial neoplasm of low malignant potential (PUNLMP
-low grade
-High grade

Question 2

en cuanto tiempo se hace la RE-RTUTV

Answer 2

2-6 semanas

Question 3

factores de riesgo clinicos

Answer 3

edad mayor a 70 años
>3 cm
tumores multiples

Question 4

definicion BCG refractario

Answer 4

-T1 HG/G3 tumour is present at 3 months
-Ta HG/G3 tumour is present after 3 months and/or at
6 months, after either re-induction or first course of
maintenance
-If CIS (without concomitant papillary tumour) is present at
3 months and persists at 6 months after either re-induction
or first course of maintenance. If patients with CIS present
at 3 months, an additional BCG course can achieve a
complete response in > 50% of cases .
-If HG tumour appears during BCG maintenance therapy*.

Question 5

BGC recurrente

Answer 5

-Recurrence of HG/G3 tumour after completion of BCG
maintenance, despite an initial response (LE: 3).

Question 6

tratamiento para los bajo riesgo

Answer 6

una dosis de quimioterapia intravesical

Question 7

tratamiento adyuvante en riesgo intermedio

Answer 7

dosis completa de BCG
-induccion (semana 6 semanas)
-mantenimiento( semanal x3)
a los 3,6 y 12 meses.

Question 8

tratamiento adyuvante en riesgo alto

Answer 8

BCG
-Induccion
-mantenimiento 1-3 años

Question 9

Tratamiento muy alto riesgo

Answer 9

cistectomia radical

Question 10

BCG unresponsive tumour

Answer 10

BCG unresponsive tumours include all BCG refractory
tumours and those who develop T1/Ta HG recurrence within
6 months of completion of adequate BCG exposure** or
develop CIS within 12 months of completion of adequate
BCG exposure (LE: 4).

Question 11

Absolute contraindications of BCG

Answer 11

during the first two weeks after TURB;
* in patients with visible haematuria;
* after traumatic catheterisation;
* in patients with symptomatic urinary
tract infection.

Question 12

disminucion de progression de Ta y T1 tratados con BCG

Answer 12

disminuye 25% riesgo de progresion.

45% para CIS.

Question 13

numero de ganglios necesarios para linfa pelvica

Answer 13

igual o mayor a 9

Question 14

cuanto es lo maximo que se puede esperar para realizar prostatectomia radical sin comprometer el pronostico

Answer 14

3 meses

Question 15

contraindicaciones para realizar una derivacion neovejiga ortotopica

Answer 15

tumor en el cuello
bordes positivos en turetra
tumor en prostata

Question 16

mas comun hombres o mujeres?

Answer 16

hombres

Question 17

taaquismo RR?

Answer 17

50%

Question 18

cuando se hace la Re reseccion

Answer 18

2-4 semanas

Question 19

tipos de adenocarcinoma de vejiga

Answer 19

metastasico
uracal
primario

Question 20

lesiones premalignas de adenocarcinoma de vejiga

Answer 20

cistitis glandular
gralndulas von brun

Question 21

citectomia parcial

Answer 21

diverculo
solitorio en domo
<3 cm

Question 22

linfa recomendada

Answer 22

extentida

Question 23

cistectomia temprana indicaciones(se justifica por que 50% estan subestadificados para musculoinvaso)

Answer 23

CIS
mutlifocal
>3cm
Refractarios a BCG
muy alto riesgo.

msrgenes postivios de 2 cm.

Question 24

dosis rt

Answer 24

64 gy

Question 25

quimiterapia

Answer 25

DDMVAC
4 ciclos