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. 2018 Jul 25;7:F1000 Faculty Rev-1137. [Version 1] doi: 10.12688/f1000research.14903.1

Table 1. Risk stratification of non-muscle-invasive bladder cancer 10, 11.

Risk category EAU definition 9 EAU recommendations AUA definition 10 AUA recommendations
Low •  Primary,
•  Solitary (<3 cm),
•  Low-grade/G1, and
•  Ta
•  Single immediate post-TUR
instillation of chemotherapy
•  Solitary <3 cm,
•  Low-grade, and
•  Ta
•  Single immediate post-TUR
instillation of chemotherapy
Intermediate •  Any disease not fitting
low- or high-risk criteria
•  Single immediate post-TUR
instillation of chemotherapy,
and either
•  Induction chemotherapy for
1 year, or
•  Induction BCG with 1 year of
maintenance therapy
•  Low-grade Ta
recurrence <1 year
•  Solitary low-grade Ta
>3 cm,
•  Multifocal low-grade
Ta,
•  High-grade Ta ≤3 cm,
or
•  Low-grade T1
•  Single immediate post-TUR
instillation of chemotherapy,
and either
•  Induction chemotherapy with
or without maintenance, or
•  Induction BCG with
maintenance
High •  Any T1, or
•  High-grade/G3, or
•  CIS present, or
•  Multiple, recurrent,
large (>3 cm), papillary
(Ta), low-grade/G1 or
G2 tumors
•  Single immediate post-TUR
instillation of chemotherapy,
and either
•  Induction BCG with 1–3 years
of maintenance therapy, or
•  Immediate radical
cystectomy
•  High-grade T1
•  Recurrent high-grade
Ta
•  High-grade Ta >3 cm
•  CIS
•  Any high-grade
failing BCG
•  Variant histology
•  LVI
•  High-grade prostatic
urethral involvement
•  Induction BCG with
maintenance therapy, or
•  Immediate radical cystectomy
for highest risk features (with
LVI, variant histology, T1 with
CIS, persistent T1 on re-TUR)

AUA, American Urological Association; BCG, bacillus Calmette-Guérin; CIS, carcinoma in situ; EAU, European Association of Urology; LVI, lymphovascular invasion; TUR, transurethral resection