Case Reports in Oncology (Mar 2018)

Fluorescent Light-Guided Cystoscopy with 5-ALA Aids in Accurate Surgical Margin Detection for TURBO: A Case Report

  • Daiji Takamoto,
  • Takashi Kawahara,
  • Shinji Ohtake,
  • Taku Mochizuki,
  • Shinnosuke Kuroda,
  • Noboru Nakaigawa,
  • Koji Izumi,
  • Yasuhide Miyoshi,
  • Kazuhide Makiyama,
  • Masahiro Yao,
  • Tomoe Sawazumi,
  • Yoshiaki Inayama,
  • Junichi Ohta,
  • Hiroji Uemura

DOI
https://doi.org/10.1159/000487390
Journal volume & issue
Vol. 11, no. 1
pp. 164 – 167

Abstract

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Recent studies have revealed that transurethral resection in one piece (TURBO) has several benefits over standard transurethral resection of bladder tumor (TUR-Bt), including a higher rate of containing the bladder muscle tissue and single-block resection. Five-aminolevulinic acid (5-ALA) was approved for the detection of bladder tumor treated with TUR-Bt. A 71-year-old male patient who received right nephroureterectomy developed bladder tumor recurrence on routine cystoscopy follow-up. We planned TURBO using fluorescent light-guided cystoscopy with 5-ALA. We herein report a case of bladder tumor successfully treated with TURBO using fluorescent light-guided cystoscopy with 5-ALA to detect the tumor surgical margin.

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