Surgical factors in the treatment of superficial and invasive bladder cancer Journal Article
| Author: | Herr, H. W. |
| Article Title: | Surgical factors in the treatment of superficial and invasive bladder cancer |
| Abstract: | Tumor stage, grade, and variations in biologic behavior are primary features that largely determine bladder cancer outcomes. Quality of surgery used to assess and treat bladder tumors is critical to a successful outcome. Diagnosis, prognosis, local tumor control, and survival are highly dependent on surgical factors associated with the quality of surgical methods. In cases of superficial bladder tumors, this involves an aggressive TUR of all visible and suspected tumors, including a second resection in most cases. For invasive bladder cancers, radical cystectomy and a complete PLND are required. Both procedures require a high level of skill to achieve a successful outcome. Urologists have no control over the extent of disease or tumor biology, but can control how they evaluate and treat patients. The challenge is how to get better at maximizing surgical efforts. The who and how of surgery in bladder cancer does indeed matter. © 2005 Elsevier Inc. All rights reserved. |
| Keywords: | cancer survival; treatment outcome; cancer surgery; surgical technique; survival rate; clinical feature; disease course; histopathology; review; cancer localization; cancer recurrence; cancer risk; patient selection; cancer patient; cancer staging; follow up; lymph node metastasis; lymph node dissection; neoplasm staging; quality of life; bladder cancer; prediction; bladder tumor; risk factor; urinary bladder neoplasms; risk assessment; cancer invasion; survival time; disease severity; health status; clinical competence; cystectomy; medical specialist; cancer relapse; minimally invasive surgery; neoplasm invasiveness; cystoscopy; molecular biology; urethra; qualitative analysis |
| Journal Title: | Urologic Clinics of North America |
| Volume: | 32 |
| Issue: | 2 |
| ISSN: | 0094-0143 |
| Publisher: | W.B. Saunders Co-Elsevier Inc. |
| Date Published: | 2005-05-01 |
| Start Page: | 157 |
| End Page: | 164 |
| Language: | English |
| DOI: | 10.1016/j.ucl.2005.02.003 |
| PUBMED: | 15862613 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 24" - "Export Date: 24 October 2012" - "CODEN: UCNAD" - "Source: Scopus" |
