2000
DOI: 10.1097/00005392-200006000-00014
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Limitations of Computerized Tomography in Staging Invasive Bladder Cancer Before Radical Cystectomy

Abstract: Staging CT of the abdomen and pelvis in patients with invasive bladder carcinoma has limited accuracy, mainly because of its inability to detect microscopic or small volume extravesical tumor extension and lymph node metastases. CT tends to under stage advanced disease and failed to alter surgical management in nearly all of our cases.

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Cited by 30 publications
(36 citation statements)
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“…Patients with muscle-invasive BC are known to have a 10–30% risk of metastatic LNs, with an increase in LN metastases of up to 50% in patients with tumors extending into the perivesical fatty tissue [3, 4]. In patients with LN involvement, 5-year recurrence-free survival rates drop to 35% regardless of the T stage [5, 6].…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…Patients with muscle-invasive BC are known to have a 10–30% risk of metastatic LNs, with an increase in LN metastases of up to 50% in patients with tumors extending into the perivesical fatty tissue [3, 4]. In patients with LN involvement, 5-year recurrence-free survival rates drop to 35% regardless of the T stage [5, 6].…”
Section: Introductionmentioning
confidence: 99%
“…These imaging techniques have proven not to be accurate enough in the evaluation of preoperative LN involvement of BC [3, 10]. …”
Section: Introductionmentioning
confidence: 99%
“…Histopathological approaches are very time consuming, need biopsy, and may be costly. Hence, scientists attempt to optimize detection methods and create novel tools [55,6168]. …”
Section: Cancer Detection Using Ramanmentioning
confidence: 99%
“…In an overview by Husband [15], CT has an accuracy of 64–92% for pelvic lymph node staging, while the equivalent figure for MRI is between 72 and 96%. In a study by Paik et al [16]CT had an accuracy of 55%, although extravesical tumor spread and lymph node involement were each detected in only 5% of all the cases examined. The most serious diagnostic limitations of CT result from the underestimation of tumor spread, both locally and in the case of locoregional lymph node involvement.…”
Section: Bladder Cancermentioning
confidence: 99%