{"id":16993,"date":"2022-10-11T17:59:59","date_gmt":"2022-10-11T17:59:59","guid":{"rendered":"https:\/\/www.argirovic.rs\/sajt\/?page_id=16993"},"modified":"2022-10-12T23:02:45","modified_gmt":"2022-10-12T23:02:45","slug":"tumori-besike","status":"publish","type":"page","link":"https:\/\/www.argirovic.rs\/tumori-besike\/","title":{"rendered":"Tumori be\u0161ike"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"16993\" class=\"elementor elementor-16993\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-15d6301 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"15d6301\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7f4b156\" data-id=\"7f4b156\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-60a24f0 elementor-widget elementor-widget-rs-heading\" data-id=\"60a24f0\" data-element_type=\"widget\" data-widget_type=\"rs-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\n        <div class=\"prelements-heading default animate- center\">\n\n\n\n        \t<div class=\"title-inner\">        \t\t      \t\t\n\t            <h2 class=\"title\"><span class=\"watermark\"><\/span>Tumori be\u0161ike<\/h2>\t\t\t\t\n\t\t\t\t\t        <\/div>\n\t                <\/div>\n        \t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-868060f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"868060f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5cbb293\" data-id=\"5cbb293\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e8a0632 elementor-widget elementor-widget-spacer\" data-id=\"e8a0632\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.13.3 - 28-05-2023 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-49d8c02 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"49d8c02\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8121ab2\" data-id=\"8121ab2\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-d332546 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d332546\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-3407524\" data-id=\"3407524\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-76cf236 elementor-widget elementor-widget-text-editor\" data-id=\"76cf236\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.13.3 - 28-05-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>Tumore be\u0161ike karakteri\u0161e pojava totalne povremene bezbolne hematurije, tj. krvi u mokra\u0107i. Pojava krvi u mokra\u0107i je znak nekog oboljenja i iziskuje hitan urolo\u0161ki pregled: klini\u010dki i ultrazvu\u010dni pregled, po potrebi CT kombinovan sa intravenskom urografijom (IVU). Medjutim, njva\u017eniji je cistoskopski pregled da bi se sagledao tumor i uzela biopsija radi PH analize. Najbolje je biopsiju i uklanjanje tumora u celosti izvesti pomo\u0107u transuretralne elektroresekcije (TUR).<\/p><p>Kod povr\u0161nih, pojedina\u010dnih, 3 cm u pre\u010dniku i niskog stepena maligniteta, preporu\u010duje se TUR u kombinaciji sa neposrednim postoperativnim davanjem odredjenih citostatika u mokra\u0107nu be\u0161iku. Medjutim, pacijenti sa srednjim i visokim rizikom (tumor &gt; 3 cm, mulipli tumori, &gt; 1 recidiv za godinu dana, vi\u0161i stepen maligniteta, CIS) imaju ve\u0107i rizik sa nastanak recidiva ili progresije. Indikovan je TUR tumora sa davanjam citostatika odmah posle operacije u mokra\u0107nu be\u0161iku.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-ecfff5b\" data-id=\"ecfff5b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-22aee03 elementor-widget elementor-widget-image\" data-id=\"22aee03\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.13.3 - 28-05-2023 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"960\" height=\"731\" src=\"https:\/\/www.argirovic.rs\/wp-content\/uploads\/2022\/10\/Tumor-besike.jpg\" class=\"attachment-full size-full wp-image-16992\" alt=\"velicine tumora na besici\" srcset=\"https:\/\/www.argirovic.rs\/wp-content\/uploads\/2022\/10\/Tumor-besike.jpg 960w, https:\/\/www.argirovic.rs\/wp-content\/uploads\/2022\/10\/Tumor-besike-300x228.jpg 300w, https:\/\/www.argirovic.rs\/wp-content\/uploads\/2022\/10\/Tumor-besike-768x585.jpg 768w\" sizes=\"(max-width: 960px) 100vw, 960px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b22f6ed elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b22f6ed\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-caf416d\" data-id=\"caf416d\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-0d26823 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0d26823\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-54df14b\" data-id=\"54df14b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e8840dc elementor-widget elementor-widget-text-editor\" data-id=\"e8840dc\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>U slu\u010daju nepotpunog uklanjanja tumora i visokog stepena zlo\u0107udnosti na PH analizi, potrebno je uraditi novu TUR posle 4-6 nedelja od prethodne operacije. Dodatna intravezikalna imunoterapija sa BCG je indikovana tokom vremenskog perioda od najmanje 12 meseci posle operacije.<\/p><p>Prisustvo karcinoma u povoju (CIS) je povezano sa visokim rizikom (do 50%), nastanka infiltrativnog tumora koji zahvata mi\u0161i\u0107nicu i dublje slojeve zida mokra\u0107ne be\u0161ike i potrebe za radikalnim operativnim le\u010denjem u smislu totalne cistektomije ( vadjenje be\u0161ike) sa supravezikalnom derivacijom mokra\u0107e, odnosno formiranjem ortotopske be\u0161ike.<\/p><p>Iz tog razloga su potrebne redovne cistoskopske i ultrazvu\u010dne kontrole po preporukama EAU, 2011. U slu\u010daju neuspeha imunoterapije, sa pojavom recidivnih i brojnih tumora sa prisustvom CIS-a,odnosno ako se tumor inicijalno prezentira kao infiltrativan, indikovano je radikalno operativno le\u010denje. Medjutim, celo vreme je potrebno pratiti i gornje partije mokra\u0107nih puteva pomo\u0107u IVU, enetualno i CT, kako bi se isklju\u010dilo postojanje tumora u gornjem urotraktu.<\/p><p>U slu\u010daju pozitivnog nalaza indikovano je radikalno operativno le\u010denje (nefroureterektomija)(skidanje bubrega i mokra\u0107nog kanala sa malim delom zida mokra\u0107ne be\u0161ike oko orificijuma). Skidanje regionalnih limfnih \u017eljezdi je indikovano kod infiltrativnih i multifokalnih tumora , visokog stepena maligniteta. Konzerviraju\u0107e operacije dolaze u obzir kod pojedina\u010dnih malih tumora 1 cm u pre\u010dniku, niskog stepena zlo\u0107udnosti na biopsiji i bez znakova za prisustvo prodora u dublje slojeve zida organa.<\/p><p>\u00a0<\/p><p style=\"text-align: center;\">Vrati se na stranicu\u00a0<a style=\"color: white; text-decoration: underline;\" href=\"https:\/\/www.argirovic.rs\/sajt\/baza-znanja\/\" rel=\"noopener\">BAZA ZNANJA<\/a><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-73d665a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"73d665a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1642b14\" data-id=\"1642b14\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5cae18a elementor-widget elementor-widget-spacer\" data-id=\"5cae18a\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Tumori be\u0161ike Tumore be\u0161ike karakteri\u0161e pojava totalne povremene bezbolne hematurije, tj. krvi u mokra\u0107i. Pojava krvi u mokra\u0107i je znak nekog oboljenja i iziskuje hitan urolo\u0161ki pregled: klini\u010dki i ultrazvu\u010dni pregled, po potrebi CT kombinovan sa intravenskom urografijom (IVU). Medjutim, njva\u017eniji je cistoskopski pregled da bi se sagledao tumor i uzela biopsija radi PH analize&#8230;.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Tumori be\u0161ike - Poliklinika Argirovi\u0107 | Urologija | Ginekologija<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.argirovic.rs\/tumori-besike\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tumori be\u0161ike - Poliklinika Argirovi\u0107 | Urologija | Ginekologija\" \/>\n<meta property=\"og:description\" content=\"Tumori be\u0161ike Tumore be\u0161ike karakteri\u0161e pojava totalne povremene bezbolne hematurije, tj. krvi u mokra\u0107i. Pojava krvi u mokra\u0107i je znak nekog oboljenja i iziskuje hitan urolo\u0161ki pregled: klini\u010dki i ultrazvu\u010dni pregled, po potrebi CT kombinovan sa intravenskom urografijom (IVU). 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