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Carcinoma of the bladder T 3 N x M 0 treated by preoperative irradiation followed by cystectomy Third report of the rotterdam radio‐therapy institute
Author(s) -
van der WerfMessing B. H. P.
Publication year - 1975
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(197508)36:2+<718::aid-cncr2820360816>3.0.co;2-n
Subject(s) - medicine , cystectomy , palpation , bladder cancer , carcinoma , reduction (mathematics) , surgery , cancer , urology , geometry , mathematics
Eighty‐nine patients with bladder cancer T 3 N x M 0 have been treated by preoperative external irradiation (4000 rads in 4 weeks) followed by cystectomy. Five‐year survival is 50%. Of patients with T‐reduction (T 3 becomes P 0 , P 1 , or P 2 ) the 5‐year survival is 70%. Treatment mortality has been reduced to 3% during the last 2 years. T‐reduction cannot be predicted by histologic grade. A second staging by palpation under general anesthesia (“T” 4000 ) is reliable when T‐reduction is felt; however, fibrosis can simulate a persisting T 3 mass.