Современные методы раннего выявления и лечения рецидивов опухолей мочевого пузыря

Abstract

Summary We evaluated the prognostic significance of a second transurethral resection in patients with moderately differentiated Ta-1 bladder cancer. The information was gathered from MEDLINE, current urology journals, abstracts from recent urological meetings and personal experience. A total of 31 patients with primary T1 bladder cancer were evaluated. A second transurethral resection was performed in 8 patients in case of moderately differentiated Ta-1 bladder tumor or concomitant carcinoma in situ in the first resection. Of the 31 patients who underwent repeat resection 8 (26%) had no residual tumors. Residual tumor after the first transurethral resection presents a commin finding in bladder cancer patients. The second transurethral resection offers a possibility to preserve the bladder. Furthermore, residual disease can be detected and removed. In case of upstaging to muscle infiltrating tumor, cystectomy is the next therapeutic step.