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[Malignant infiltrating bladder tumors. Comments on 157 cases].

C Filimon, G Dorneanu, V Gheorghiu

    Revista Medico-Chirurgicala a Societatii De Medici Si Naturalisti Din Iasi
    |July 1, 1989
    PubMed
    Summary

    Partial cystectomy offers results comparable to total cystectomy for malignant infiltrative bladder tumors. Multimodal treatment is recommended, especially for patients with silent kidneys.

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    Area of Science:

    • Uro-oncology
    • Surgical Oncology
    • Clinical Urology

    Background:

    • Malignant infiltrative tumors of the urinary bladder represent a significant clinical challenge.
    • Optimal treatment strategies require careful consideration of patient factors and tumor characteristics.

    Observation:

    • A retrospective analysis of 157 cases treated between 1983 and 1988.
    • Data collected included patient demographics, clinical presentation, diagnostic methods, surgical interventions, pathological findings, and follow-up outcomes.
    • Five representative cases were detailed to illustrate treatment approaches and outcomes.

    Findings:

    • Partial cystectomy, when appropriately indicated and executed, yielded outcomes similar to those of total cystectomy for malignant infiltrative bladder tumors.

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  • Conservative management is advised for patients with an urographically silent kidney.
  • A multimodal therapeutic approach is recommended for managing malignant infiltrative bladder tumors.

    • Implications:

    • Partial cystectomy can be a viable and effective alternative to radical surgery in select cases of infiltrative bladder cancer.
    • The findings support a tailored, multimodal treatment strategy, emphasizing organ preservation when feasible.
    • This study contributes to the understanding of long-term management of advanced bladder malignancies.