title: Radical cystectomy for transitional cell carcinoma of the bladder. Long-term survival in high risk patients.
abstract: Debilitated, sometimes old, previously radiated patients with transitional cell carcinoma of the bladder may present with many poor prognostic features including: high grade, diffuse, carcinoma; invasion of perivesical tissue; ureteral obstruction; a fixed pelvic mass, and vascular and lymphatic invasion. Improvements in anesthesia, medical management, and nutrition have allowed radical cystectomy and long-term survival in 4 such high risk patients with locally advanced transitional cell carcinoma of the bladder, including 1 patient who had excision of his urinary tract.
authors.affiliation: James Buchanan Brady Urological Institute, Baltimore, Md.
authors.forename: A L
authors.initials: AL
authors.lastname: Burnett
authors.forename: J I
authors.initials: JI
authors.lastname: Epstein
authors.forename: F F
authors.initials: FF
authors.lastname: Marshall
mesh_terms: D000328:Adult; D000368:Aged; D002295:Carcinoma, Transitional Cell / Q000401:mortality / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D013997:Time Factors; D001743:Urinary Bladder / Q000601:surgery*; D001749:Urinary Bladder Neoplasms / Q000401:mortality / Q000601:surgery*; D014547:Urinary Diversion