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Urology Oncology A

EAU Bladder Cancer Recurrence Risk (EORTC)

EORTC recurrence score for non-muscle-invasive bladder cancer (Ta/T1) after TURBT: probability of recurrence at 1 and 5 years. Progression risk uses a separate EORTC score with different weights.

Score interpretation

Recurrence Score 0 — Low 0

EORTC recurrence probability 15 % at 1 year, 31 % at 5 years.

→ Single instillation intravesical mitomycin C within 24h of TURBT; cystoscopy at 3 months, then annually if negative

Recurrence Score 1–4 — Intermediate 1–4

EORTC recurrence probability 24 % at 1 year, 46 % at 5 years.

→ Adjuvant intravesical BCG or mitomycin C (6–12 inductions); cystoscopy at 3, 6, 12 months then annually

Recurrence Score 5–9 — Intermediate 5–9

EORTC recurrence probability 38 % at 1 year, 62 % at 5 years.

→ Adjuvant intravesical BCG or mitomycin C (6–12 inductions); cystoscopy at 3, 6, 12 months then annually

Recurrence Score 10–17 — High 10–17

EORTC recurrence probability 61 % at 1 year, 78 % at 5 years.

→ BCG induction + 1–3 year maintenance; consider radical cystectomy if T1G3 + CIS; cystoscopy every 3 months for 2 years

Interpretation bands for the Bladder Ca Risk. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.