Routine excretory urography in follow-up of superficial transitional cell carcinoma of bladder

Urology
H SmithG Ross

Abstract

To determine cost-effective guidelines for the follow-up of patients with superficial transitional cell carcinoma of the bladder (STCCAB), we reviewed clinical histories, pathology reports, and intravenous pyelography results in 84 patients with Stage Ta or T1 disease. In 4 patients (4.8%) subsequent upper tract tumors developed with an average interval from initial presentation to the development of upper tract disease of 5.4 years. Three of these patients were treated successfully. We recommend upper tract surveillance in this group of patients with intravenous pyelography at diagnosis and every twenty-four months thereafter, or selection of those patients who are at high risk for development of upper tract disease (i.e., ureteral-vesical reflux) with voiding cystourethrography one month following each resection of tumors near a ureteral orifice. Refluxing patients should then either undergo surgical repair of their reflux or yearly pyelography.

References

Jun 1, 1975·Cancer·M A BatataH Grabstald
Dec 1, 1981·British Journal of Urology·H R EnglandJ P Blandy
Sep 1, 1964·British Journal of Urology·J G SMART

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Citations

Jul 26, 2012·Advances in Urology·Han HanGangning Liang
Jun 13, 2009·Lancet·Donald S KaufmanAdam S Feldman
Jul 11, 2006·The Urologic Clinics of North America·Timothy J BradfordKhaled S Hafez
Sep 19, 2000·The Journal of Urology·F Millán-RodríguezJ Vicente-Rodríguez
Jan 10, 2006·Urology·Willem OosterlinckPaul Sved
Feb 1, 1997·The Journal of Urology·C GoesslR Klän
Dec 19, 2003·The Urologic Clinics of North America·S Machele Donat

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