Management of muscle-invasive bladder cancer in Victoria, 1990-1995

ANZ Journal of Surgery
Jeremy L MillarUrology Study Committee of the Victorian Co-operative Oncology Group

Abstract

The management and outcomes of muscle-invasive bladder cancer are described in this article. A retrospective survey of medical practitioners involved in the management of bladder cancer was conducted. The survey obtained at least 5 years of follow-up data on all patients. The sample was taken from the public and private health sectors in Victoria. All were cases of muscle-invasive bladder cancer diagnosed between 1990 and 1995. The main outcome measures included reported management by staging, treatment and survival. Completed questionnaires were returned for 743 (89.6%) of 829 cases. Of these, 523 (70.4%) were men, and the mean age was 72.7 years. More than 75% of the cases (560) presented with macroscopic haematuria. The majority (696, 94%) had transitional cell carcinoma. A variety of treatments were given in various sequences, with 231 cases (31.1%) having initial surveillance. Eventually, 303 cases (40.8%) proceeded to 'definitive' management with either radiotherapy (132, 17.8%) or cystectomy (171, 23.0%). In addition, chemotherapy was given to 254 patients (34.2%) at some time. Most patients (613, 82.5%) have subsequently died; 402 (54%) died from bladder cancer. Crude 5-year survival was 13.0%, and disease-specific surv...Continue Reading

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Citations

Feb 4, 2014·International Urology and Nephrology·Rajkumar CheluvappaManish I Patel
May 19, 2010·The Journal of Urology·Janice N ChengDamien M Bolton
Aug 12, 2009·International Journal of Radiation Oncology, Biology, Physics·Nicholas P MunroRohit Chahal
Jun 21, 2007·Palliative & Supportive Care·Susan PalmerMaree Sexton

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