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

• Main Authors: 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
• Format: Article
• Language: English
• Published: Karger Publishers 2018-03-01
• Series: Case Reports in Oncology
• Subjects: Fluorescent light-guided cystoscopy; 5-ALA; TURBO; TUR-Bt
• Online Access: https://www.karger.com/Article/FullText/487390
• ISSN: 1662-6575

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.