[Conservative treatment of muscle-infiltrating bladder tumors with TUR].
OBJECTIVE
The absence of tumor in up to 10% of cystectomy specimens of patients with invasive bladder cancer justify the search for non aggressive therapies. The present study attempts to establish the safety and curative capacity of TUR alone for patients with superficial muscle-infiltrating bladder cancer.


METHODS
Over a period of 18 months, 12 patients with superficial muscle-infiltrating bladder cancer (T2) were diagnosed at our department, TUR was repeated in 9 of the 12 patients. The extension study was negative in all 9 patients.


RESULTS
The mean follow up was 12.8 months (range 7-70 months). Local recurrence was found in 4 patients (44.4%) who were submitted to another TUR; 3 were superficial and 1 invasive (with the same muscle involvement as at the initial diagnosis). The tumor-free survival rate was 9.3 months. No patient showed tumor progression.


CONCLUSIONS
The percentage and nature of local recurrence, tumor-free survival and the progression rate (which was not observed during the short follow up period) indicate that TUR is a treatment option that must be taken into account in selected patients with invasive bladder cancer.
Acebal Lucía
J
J
Servicio de Urología, Hospital Universitario de Getafe, Madrid, España.
Paez Borda
A
A
Llorente Abarca
C
C
Quijano Barroso
P
P
Herrero Payo
A
A
Bustamante Alarma
S
S
Montes Díaz
M J
MJ
Berenguer Sánchez
A
A
D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D008875:Middle Aged; D009130:Muscle, Smooth; D013514:Surgical Procedures, Operative / Q000379:methods; D014521:Urethra; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery*
Tratamiento conservador mediante RTU de los tumores vesicales musculoinfiltrantes.