Radical cystectomy for transitional cell carcinoma of the bladder. Long-term survival in high risk patients.
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.
Burnett
A L
AL
James Buchanan Brady Urological Institute, Baltimore, Md.
Epstein
J I
JI
Marshall
F F
FF
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