title: [Conservative treatment of muscle-infiltrating bladder tumors with TUR].
abstract: 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.
authors.affiliation: Servicio de Urología, Hospital Universitario de Getafe, Madrid, España.
authors.forename: J
authors.initials: J
authors.lastname: Acebal Lucía
authors.forename: A
authors.initials: A
authors.lastname: Paez Borda
authors.forename: C
authors.initials: C
authors.lastname: Llorente Abarca
authors.forename: P
authors.initials: P
authors.lastname: Quijano Barroso
authors.forename: A
authors.initials: A
authors.lastname: Herrero Payo
authors.forename: S
authors.initials: S
authors.lastname: Bustamante Alarma
authors.forename: M J
authors.initials: MJ
authors.lastname: Montes Díaz
authors.forename: A
authors.initials: A
authors.lastname: Berenguer Sánchez
mesh_terms: 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*
vernacular_title: Tratamiento conservador mediante RTU de los tumores vesicales musculoinfiltrantes.