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The Effect of Lymphovascular Invasion on Short-Term Tumor Recurrence and Progression in Stage T1 Bladder Cancer.

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  • 1Urology, Afyonkarahisar Health Sciences University, Afyonkarahisar, TUR.

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|March 27, 2024
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Summary

Lymphovascular invasion (LVI) in T1 high-grade bladder tumors significantly increases the risk of cancer progression after transurethral resection. Early radical cystectomy and neoadjuvant chemotherapy are recommended for patients with LVI.

Keywords:
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Area of Science:

  • Urology
  • Oncology
  • Pathology

Background:

  • Lymphovascular invasion (LVI) is a critical factor in tumor spread and metastasis.
  • The prognostic significance of LVI in transurethral resection of bladder tumors (TUR-BT) remains unclear.

Purpose of the Study:

  • To evaluate the impact of LVI on tumor progression and recurrence in patients with T1 high-grade bladder tumors following TUR-BT.

Main Methods:

  • Retrospective analysis of 58 patients with T1 high-grade bladder cancer who underwent TUR-BT without radical surgery.
  • Comparison of progression and recurrence rates at three months and one year, analyzing factors including LVI, tumor size, grade, and patient demographics.

Main Results:

  • LVI was detected in 15.5% of patients.
  • One-year progression to T2 tumor was significantly higher in patients with LVI (66.7%) compared to those without (10.2%) (p=0.001).
  • LVI was the sole significant predictor of one-year progression in logistic regression analysis (p=0.001).

Conclusions:

  • The presence of LVI in T1 high-grade bladder tumors is a significant predictor of increased tumor progression.
  • Early consideration of radical cystectomy and neoadjuvant chemotherapy for patients with LVI is warranted to improve disease management.