MPI für molekulare Genetik / Department of Computational Molecular Biology |
|Effect of routine repeat transurethral resection for superficial bladder cancer: A long-term observational study|
|Authors:||Grimm, Marc-Oliver; Steinhoff, Christine; Simon, Xenia; Spiegelhalder, Philipp; Ackermann, Rolf; Vogeli, Thomas Alexander|
|Date of Publication (YYYY-MM-DD):||2003-08|
|Title of Journal:||Journal of Urology|
|Journal Abbrev.:||J. Urol.|
|Issue / Number:||2|
|Copyright:||© 2003, American Urological Association|
|Review Status:||not specified|
|Abstract / Description:||Purpose: We determined the long-term outcome in patients with superficial bladder cancer (Ta and T1) undergoing routine second transurethral bladder tumor resection (ReTURB) in regard to recurrence and progression.
Materials and Methods: We performed an inception cohort study of 124 consecutive patients with superficial bladder cancer undergoing transurethral resection and routine ReTURB (83) between November 1993 and October 1995 at a German university hospital. Immediately after transurethral resection all lesions were documented on a designed bladder map. ReTURB of the scar from initial resection and other suspicious lesions was performed at a mean of 7 weeks. Patients were followed until recurrence or death, or a minimum of 5 years.
Results: Residual tumor was found in 33% of all ReTURB cases, including 27% of Ta and 53% of T1 disease, and in 81% at the initial resection site. Five of the 83 patients underwent radical cystectomy due to ReTURB findings. The estimated risk of recurrence after years 1 to 3 was 18%, 29% and 32%, respectively. After 5 years 63% of the patients undergoing ReTURB were still disease-free (mean recurrence-free survival 62 months, median 87). Progression to muscle invasive disease was observed in only 2 patients (3%) after a mean observation of 61 months.
Conclusions: These data suggest a favorable outcome regarding recurrence and progression in patients with superficial bladder cancer who undergo ReTURB. ReTURB is suggested at least in those at high risk when bladder preservation is intended.
|Free Keywords:||bladder; bladder neoplasms; urethra; transurethral resection; outcome; recurrence; progression|
|Comment of the Author/Creator:||Date: 2003, Aug|
|External Publication Status:||published|
|Version Comment:||Automatic journal name synchronization|
|Communicated by:||Martin Vingron|
|Affiliations:||MPI für molekulare Genetik|
|External Affiliations:||Univ Dusseldorf, Dept Urol, D-40225 Dusseldorf, Germany.; Max Planck Inst Mol Genet, Dept Computat Mol Biol, Berlin, Germany|
|Identifiers:||ISI:000184134100020 [ID No:1] |
ISSN:0022-5347 [ID No:2]
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