Management of low grade papillary bladder tumors Journal Article
| Authors: | Herr, H. W.; Donat, S. M.; Reuter, V. E. |
| Article Title: | Management of low grade papillary bladder tumors |
| Abstract: | Purpose: We evaluated the management and treatment outcomes of low grade papillary bladder tumors. Materials and Methods: We evaluated 215 patients diagnosed with low grade and noninvasive papillary bladder tumors, and followed them every 6 months with flexible cystoscopy for 6 to 10 or more years. Tumor recurrence was treated with transurethral resection or outpatient cystoscopic fulguration. Results: Of the 215 patients 143 (67%) had at least 1 recurrence (positive cystoscopy). With a median followup of 8 years tumor recurrences averaged 6.2 (range 1 to 19) requiring 0.34 transurethral resections per year or 1 transurethral resection every 3 years, or 0.61 fulgurations or 1 fulguration approximately every 2 years. There were 17 patients (8%) who had progression in grade or stage and 1 patient (0.5%) died of bladder cancer. Patients most likely to have recurrence had multiple tumors, low grade (TaLG) carcinoma or tumor at first followup cystoscopy. Conclusions: Surveillance cystoscopy at 6-month intervals coupled with outpatient fulguration controls recurrent tumors and reduces the therapeutic burden for patients diagnosed with low grade papillary bladder tumors. © 2007 American Urological Association. |
| Keywords: | adult; treatment outcome; aged; middle aged; survival analysis; major clinical study; cancer staging; follow up; follow-up studies; neoplasm staging; cancer grading; neoplasm recurrence, local; carcinoma, papillary; urinary bladder neoplasms; tumor recurrence; urinary bladder; reoperation; neoplasm invasiveness; cystoscopy; papilloma; transurethral resection; carcinoma, transitional cell; electrocoagulation; bladder papilloma |
| Journal Title: | Journal of Urology |
| Volume: | 178 |
| Issue: | 4 |
| ISSN: | 0022-5347 |
| Publisher: | Elsevier Science, Inc. |
| Date Published: | 2007-10-01 |
| Start Page: | 1201 |
| End Page: | 1205 |
| Language: | English |
| DOI: | 10.1016/j.juro.2007.05.148 |
| PUBMED: | 17698090 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 18" - "Export Date: 17 November 2011" - "CODEN: JOURA" - "Source: Scopus" |
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