[Follow-up of urothelial carcinoma: Review of the Cancer Committee of the French Association of Urology]

INTRODUCTION - Cancer Committee of the French Association of Urology (CCAFU) conducted a literature review concerning the follow-up of urothelial carcinomas and provides recommendations for monitoring.

MATERIALS AND METHODS - A bibliographic research in French and English using PubMed was carried out from 1990 to 2014 using the keywords "urothelial carcinoma", "follow-up", "prognosis", and "recurrence".

RESULTS - Rhythm and tools of follow-up (cytology, endoscopy, CT-urography) for non muscle invasive bladder cancer (NMIBC) have to be adjusted to the recurrence and progression risk defined by the EORTC tables. After radical treatment of muscle invasive bladder cancer (MIBC), follow-up is based on endoscopy, cytology and CT-urography. Monitoring of the urethra must be adapted to the recurrence factors and continued for at least 5 years. The monitoring of upper tract should be continued for life. In case of conservative treatment for MIBC, early endoscopy and imaging reassessment is required. After radical treatment of upper urinary tract tumour (UTUC), cystoscopy and cytology are essential because of the frequency of bladder recurrence in the first three years. Conservative management of UTUC requires strict monitoring including flexible ureteroscopy.

CONCLUSIONS - Oncologic follow-up of urothelial carcinomas is adapted according to tumour stage and grade, location and treatment modality thus defining the risk of recurrence over time.

Prog Urol. 2015 Jun 30. pii: S1166-7087(15)00189-X. doi: 10.1016/j.purol.2015.05.012. [Epub ahead of print]

[Article in French]
Colin P1, Neuzillet Y2, Pignot G3, Rouprêt M4, Comperat E5, Larré S6, Roy C7, Quintens H8, Houedé N9, Soulié M10, Pfister C11; les membres du Comité de cancérologie de l’Association française d’urologie.

1 Service d'urologie, hôpital privé de la Louvière, générale de santé, 59000 Lille, France.
2 Service d'urologie, université de Versailles, hôpital Foch, 92150 Suresnes, France.
3 Service d'urologie, université Paris-Sud, hôpital Bicêtre, 94270 Le-Kremlin-Bicêtre, France.
4 Service d'urologie, université Pierre-et-Marie-Curie, Paris 6, groupe hospitalier Pitié-Salpêtrière, 75013 Paris, France.
5 Service d'anatomopathologie, université Paris-Descartes, groupe hospitalier Pitié-Salpêtrière, 75013 Paris, France.
6 Service d'urologie, CHU de Reims, 51000 Reims, France.
7 Service de radiologie et échographie, université de Strasbourg, Nouvel hôpital civil, 67000 Strasbourg, France.
8 Département d'urologie, institut Arnault-Tzanck, 06700 Saint-Laurent-du-Var, France.
9 Service d'oncologie médicale, CHU de Nîmes, 30000 Nîmes, France.
10 Département d'urologie, université Paul-Sabatier, hôpital Rangueil, 31000 Toulouse, France.
11 Service d'urologie, université de Rouen, hôpital Charles-Nicolle, 76000 Rouen, France.