Ku, "The prognostic significance of the early postoperative neutrophilto-lymphocyte ratio in patients with urothelial carcinoma of the bladder undergoing radical cystectomy
," Annals of Surgical Oncology, pp.
with pelvic lymph node dissection is the standard method used to treat patients with locally advanced carcinoma of urinary bladder.
The treatment of high grade NMIBC is intravesical BCG therapy, however for high risk cases radical cystectomy
(RC) with urinary diversion is the gold standard for muscle-invasive bladder cancer (M1BC).
In view of the small number of tumours reported the outcome cannot at the moment be clearly documented with regard to tumour stage, grade, and option of treatment adopted but perhaps radical cystectomy
plus radiotherapy and chemotherapy may improve survival; whether or not this treatment option is overtreatment can only be ascertained pursuant to a multicentric trial in the future after a large number of cases have been reported.
Specimens were obtained from cystoscopic biopsy in 11 cases, transurethral resection of bladder tumor in 4 cases, radical cystectomy
or cystoprostatectomy in 6 cases, and periureteral and common iliac lymph node with associated soft tissue resection in 1 case.
Even though transurethral resection, radical cystectomy
, neoadjuvant chemoradiotherapy were the proposed treatment protocols of the SCB, radical cystectomy
with adjuvant chemotherapy was the most appropriate treatment option due to the patient's poor prognosis(6-9).
Two weeks later the patient underwent a radical cystectomy
SAN ANTONIO -- Although many surgeons have the impression that surgical outcome is often worse in obese patients, this appears not always to be the case, at least with radical cystectomy
, Karim A.
The only alternative for these patients is radical cystectomy
, which carries an unacceptably high percentage of life long morbidities and a small but significant chance of mortality.
(RC) with urinary diversion is the standard surgical treatment for muscle invasive BCa.
The main treatment for MIBC is still radical cystectomy
and lymph node dissection.