Partial cystectomy in the treatment of invasive bladder cancer

Tomoyasu Tsushima, Takanori Murakami, Shin Ebara, Nobuyuki Kusaka, Shunko Kaku, Yoshiyuki Miyaji, Yasuo Yamamoto, Yasutomo Nasu, Hiromi Kumon, Hiroyuki Ohmori

Research output: Contribution to journalArticle

Abstract

Forty-eight patients with localized muscle-invasive bladder cancer underwent partial cystectomy. Their median age was 70 years. Of these patients, 67% had G3 tumors, and 40% had stage pT3b or pT4 tumors. Nine patients received neoadjuvant therapy. Thirty-one patients received adjuvant chemotherapy and 21 received postoperative radiotherapy, among whom 19 received adjuvant chemo-radiotherapy. The median follow-up was 38 months for all patients, and 68 months for the surviving patients. The cause-specific 5- year survival rate was 63%, while the non-recurrence 5-year survival rate was 58%. Univariate analysis of prognostic factors was carried out with regard to cause-specific survival. Prognosis was statistically better in patients with tumors less than 2cm in diameter, in those with stages pT2 and 3a disease, and in those without hydronephrosis. Partial cystectomy can be recommended in certain clearly selected patients with localized muscle-invasive bladder cancer.

Original languageEnglish
Pages (from-to)397-401
Number of pages5
JournalNishinihon Journal of Urology
Volume60
Issue number5
Publication statusPublished - May 1 1998

Keywords

  • Invasive bladder cancer
  • Partial cystectomy

ASJC Scopus subject areas

  • Urology

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  • Cite this

    Tsushima, T., Murakami, T., Ebara, S., Kusaka, N., Kaku, S., Miyaji, Y., Yamamoto, Y., Nasu, Y., Kumon, H., & Ohmori, H. (1998). Partial cystectomy in the treatment of invasive bladder cancer. Nishinihon Journal of Urology, 60(5), 397-401.