title: Vesical diverticulum associated with bladder carcinoma: therapeutic implications.
abstract: Of 146 patients with bladder diverticula during a 15-year period 9 had associated transitional cell carcinoma of the bladder: 3 (2 per cent of all patients with diverticula) in the diverticulum, 3 adjacent to the ostium of the diverticulum and 3 remote from the diverticulum. All 3 patients with carcinoma in the diverticulum died of metastases, whereas the other 6 patients survived more than 5 years. We propose aggressive treatment for patients with carcinoma in the diverticulum but we do not recommend routine diverticulectomy in cases of asymptomatic and uncomplicated diverticula.
mesh_terms: D000368:Aged; D002295:Carcinoma, Transitional Cell / Q000150:complications* / Q000601:surgery; D004240:Diverticulum / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D001745:Urinary Bladder Diseases / Q000150:complications* / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000150:complications* / Q000601:surgery