Results of second-look resection after primary resection of T1 tumour of the urinary bladder
2005 (English)In: Scandinavian Journal of Urology and Nephrology, ISSN 0036-5599, Vol. 39, no 3, 206-210 p.Article in journal (Refereed) Published
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.
National CategoryMedical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-32720DOI: 10.1080/00365590510007793Local ID: 18644OAI: oai:DiVA.org:liu-32720DiVA: diva2:253543