Partial Cystectomy: A Review of 104 Cases

Abstract

SUMMARY A series of 104 cases of partial cystectomy for malignant tumours of the bladder has been reviewed. The results have been analysed in respect of the grade and the stage of the tumour, the anatomical site of the tumour, the width of tumour‐free margin excised, the presence or absence of local lymphatic invasion, and the value of post‐operative radiotherapy. Perivesical extension of the tumour has been shown to be no contraindication to a partial cystectomy. A one‐inch margin of normal bladder wall around the tumour has proved to be the most important single factor influencing prognosis. The combination of surgery and radiotherapy appears to offer a better prospect of cure than either surgery alone or radiotherapy alone.

Does Partial Cystectomy Compromise Oncologic Outcomes for Patients with Bladder Cancer Compared to Radical Cystectomy? A Matched Case-Control Analysis

“…10 Historical series have shown marked variations in recurrence and cancer related mortality following PC. 4,8,[11][12][13][14] Most recently, separate series from M.D. Anderson Cancer Center and Memorial Sloan-Kettering Cancer Center reported that PC was associated with a 5-year recurrence free survival rate of between 39% and 67%.…”

Η Περιοχική Ενδαρτηριακή Χημειοθεραπεία Του Προχωρημένου Καρκίνου Της Ουροδόχου Κύστης

“…Eίναι φρονιµότερο να χορηγηθεί προεγχειρητική ακτινοθεραπεία σε δόσεις τουλάχιστον 1000-1200 rad για να αποτραπεί καρκινική διασπορά κάτι που συµβαίνει σε 10-20% των ασθενών από τη διάνοιξη της κύστης 58 . H κύστη θα πρέπει να αποµονωθεί αρχικά και να τοποθετηθεί ουροκαθετήρας.…”