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Results of second-look resection after primary resection of T1 tumour of the urinary bladder
Linköping University, Faculty of Health Sciences. Linköping University, Department of Biomedicine and Surgery, Division of surgery. Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Urology in Östergötland.
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2005 (English)In: Scandinavian Journal of Urology and Nephrology, ISSN 0036-5599, E-ISSN 1651-2065, Vol. 39, no 3, 206-210 p.Article in journal (Refereed) Published
Abstract [en]

Objective. To study residual tumours at second-look resection in patients resected 4-8 weeks earlier for T1 tumours of the urinary bladder. Material and methods. All patients randomized in the ongoing Nordic T1G2-G3 Bladder Sparing Study with monitored data available were included in the study. Data on residual tumours at second-look resection were compared to basic patient and tumour characteristics. Results. There were 72 patients (56%) without and 57 with residual exophytic tumours. In the former group, 20 patients (28%) had carcinoma in situ, compared to 19 (33%) in the latter group. Potentially dangerous tumours (either carcinoma in situ, T1 or Ta grade 3) were observed in 55 patients (43%). Multiple tumours at primary resection were more prone to residual tumour at second-look resection than single tumours. No other tumour or patient characteristics could predict the occurrence of a residual tumour. Conclusions. Residual tumours are frequently observed at second-look resection 4-8 weeks after primary resection of T1 tumours. The majority of residual tumours detected at this stage are potentially dangerous, therefore, early second-look resection followed by intravesical instillation therapy is mandatory in patients with T1 tumours of the urinary bladder. © 2005 Taylor & Francis.

Place, publisher, year, edition, pages
2005. Vol. 39, no 3, 206-210 p.
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Medical and Health Sciences
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URN: urn:nbn:se:liu:diva-32720DOI: 10.1080/00365590510007793Local ID: 18644OAI: oai:DiVA.org:liu-32720DiVA: diva2:253543
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2017-12-13

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Jahnson, Staffan

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Faculty of Health SciencesDivision of surgeryDepartment of Urology in Östergötland
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CiteExportLink to record
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  • de-DE
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