Clinical investigation of grade-up superficial bladder cancer
Between January 1977 and December 1993, 249 patients with grade 1 or grade 2 superficial bladder cancer were initially treated at Yokohama City University Hospital. Eighty-six patients (33%) had recurrent tumors after initial resection, and sixteen recurrent cases were so-called grade-up tumors that...
Publié dans: | Hinyokika kiyo. Acta urologica Japonica. - 1962. - 41(1995), 9 vom: 15. Sept., Seite 659-64 |
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Auteur principal: | |
Autres auteurs: | , , , , |
Format: | Article |
Langue: | Japanese |
Publié: |
1995
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Accès à la collection: | Hinyokika kiyo. Acta urologica Japonica |
Sujets: | English Abstract Journal Article |
Résumé: | Between January 1977 and December 1993, 249 patients with grade 1 or grade 2 superficial bladder cancer were initially treated at Yokohama City University Hospital. Eighty-six patients (33%) had recurrent tumors after initial resection, and sixteen recurrent cases were so-called grade-up tumors that is, grade 3 originating from grade 1 or grade 2 tumor. The morphology of the grade-up tumors mostly showed non-papillary and invasive type. Positivity for urinary cytology of grade-up tumors was 88%. The five-year survival rate of the patients with grade-up tumors was 85% after initial resection of grade-up patients and 48% after treatment of grade-up tumors. The five-year survival rate of the patients with grade-up tumors who were treated by total cystectomy was 72%, whereas that in the patients who were treated by bladder preservation therapy showed a 13% five-year survival rate and all of the six patients died of cancer during the six-year follow-up period. These findings suggest that patients who have grade up tumors should be treated by radical treatment with radical cystectomy |
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Description: | Date Completed 05.12.1995 Date Revised 15.11.2006 published: Print Citation Status MEDLINE |
ISSN: | 0018-1994 |