Urothelial carcinoma of the Prostate

Definitions

• Initial Work up and Staging refers to imaging studies that are part of the routine evaluation of a patient prior to therapy
• Restaging After Treatment refers to recommendations for studies to be performed regardless of the clinical status of the patient after completion of an episode of treatment.
• Evaluation for Change in Clinical Status refers to examinations ordered to evaluate new or worsening signs and symptoms.
• Surveillance Imaging refers to recommendations for imaging to be performed at intervals following therapy regardless of the clinical status of the patient.

Initial Work Up and Staging

• CT or MRI of Abdomen and Pelvis
• CT chest

Restaging after treatment

• No immediate routine post surgical imaging is recommended

Evaluation for Change in Clinical Status

• As clinically indicated

Surveillance Imaging (Patient stable after treatment)

• CT or MRI of the abdomen and pelvis at no less than 3 month intervals for 2 years then annual

Note: Distribution of metastases

• Liver 63%
• Lung 58%
• Bone 43%
• GI Tract 20%
• Adrenal 15%
• Ovary 13%
• Uterus 10%

References

• NCCN Guidelines Version 2.2012 Upper GU Tract Tumors accessed 7/8/11
• Diagnostic Imaging Oncology; Shaaban et al eds.; Amirsys Corp. 2012; Renal Pelvis and Ureteral carcinoma p5-44
• Diagnostic Imaging Oncology; Shaaban et al eds.; Amirsys Corp. 2012; Anal Canal Carcinoma p 4-125