Muscle-Invasive and Bladder Sparing w/ TURBT Only

16 years 4 months ago #10295 by Gene Beane
Replied by Gene Beane on topic Muscle-Invasive and Bladder Sparing w/ TURBT Only
This would be a good article for Joeburg to read,,it speaks about his bladder sparing issues,, ...Ginger

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16 years 4 months ago #10294 by Patricia
Wow Dan.....that knocks you over doesn't it? I guess i shall be forever grateful to Dr. Herr for my second opinion and his subsequent TURB which got all of the cancer and margins of my muscle invasive single tumor and his terse recommendation to "GET IT OUT!"...That single skill of the surgeon can make all the difference.
Pat

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16 years 4 months ago #10289 by dmartin12358
Interesting article.

tinyurl.com/3ahapo

Organ Preservation For Muscle Invasive Bladder Cancer By Transurethral Resection

... evaluated 327 patients with muscle-invasive bladder cancer who were treated in at M.D. Anderson from 1997 to 2002.

... Repeat bladder tumor resection was repeated in all patients. If the patient had no residual tumor..., ...bladder preservation was offered.

...Patients who opted for bladder preservation by transurethral resection alone did not receive intravesical therapy!!!

... 35 (11%) were eligible for bladder preservation

... 27 elected to pursue this approach

... 8 opted for immediate cystectomy (... 4 had no residual tumor and one died from metastatic disease)

... Of the 27 patients who did have bladder preservation, 15 experienced subsequent tumor recurrence, 8 of whom underwent radical cystectomy. Of the 8 that had a delayed cystectomy 4 had node positive disease and 5 had extravesical disease...

They conclude "Bladder preservation using transurethral resection is feasible in selected patients, only 11% of the eligible population. Unfortunately, despite close surveillance 30% needed a cystectomy and of these 8 patients 50% had node positive disease and 62% had extravesical disease. This highlights that our current surveillance programs are inadequate to identify recurrent bladder cancer at a curable stage."

Dx 7/04, CIS + T1G3, Age 50
2 TURBTs
12 BCGs
Cystectomy 8/05 USC/Norris
So far, so good (kow)

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