[Is it necessary to always treat the relapses of superficial bladder tumour at the moment of diagnosis? Preliminary communication].

Abstract:

OBJECTIVE:To assess the expectant management superficial recurrent bladder tumours. MATERIAL AND METHODS:Between Jan 1998 and Dec 2003, 112 patients were diagnosed of superficial bladder tumour. 13 patients were observed after the diagnosis of tumour relapse until the decision to perform a transurethral resection. We analysed the clinical and pathological features. The patients were controlled with flexible cystoscopy every 3 months approximately. Of the 13 patients we count 15 observation events, (2 times in 2 patients). The decision between to treat or continue with observation was based in changes of appearance, size or number of tumours and presence of hematuria. RESULTS:With a mean age of 74.6 years (47-91). The mean observation time was 5.76 months (3-71). In the group of tumours previous to the observation period, in 12 events (10 patients) that means 80% any progression in grade or stage was observed. In the other 3 events we observed progression in grade and stage in 2 and only stage in 1. In any case we observed progression to invasive bladder tumour neither upper urinary tract tumour. CONCLUSIONS:Due to the low risk of progression, we believe that immediate eradication is not always necessary, thus reducing the adverse impact of repeat resections.

journal_name

Actas Urol Esp

authors

Martínez Cáceres P,Hidalgo Arroyo JG,Chéchile Toniolo GE

doi

10.1016/s0210-4806(05)73298-8

subject

Has Abstract

pub_date

2005-06-01 00:00:00

pages

567-71

issue

6

eissn

0210-4806

issn

1699-7980

pii

S0210-4806(05)73298-8

journal_volume

29

pub_type

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    doi:

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