Clinical Observation on Bladder Tumor

Kim, Ha Young; Kim, Si Whang

Abstract

A clinical observation was made on 175 of the 232 patients with bladder tumor seen in the Department of Urology, Seoul National University Hospital during the period from January, 1975 to December, 1979. The following results were obtained: 1. During the period, 2,801 patients were hospitalized, there were 232 cases of bladder tumor, giving the ratio of 8.3%. 2. There were 142 males and 34 female with a ratio of 4.2:1. 75.3% of the patients were over 50 years old. 3. The most common symptoms were hematuria (91%), frequency (83%), urinary retention(32%) and painful urination (28%). 4. Twenty-three percent of the patients visited the hospital within 3 months after the occurrence of the initial symptom, 82% within 1 year and 12% after 3 years from the appearance of initial symptom. 5. Among the 175 patients, 108 (61.7%) had multiple tumors, while 67 (38.3%) had single tumor. Regarding to the origin, 126 (72%) were located at the lateral wall, 110(63%) at the trigone area. 6. On IVP, 84 cases (48%) had normal upper tract and 62 cases (35%) had filling defect in the bladder. 7. On pathologic examination, 159 (91%) were transitional cell carcinoma, 9 cases (5%) were squamous cell carcinoma and 5 cases (3%) were adenocarcinoma and 1 cases (1%) was malignant melanoma. 8. Stage A, B, C, D were 48 cases (27%), 67 cases (38%), 28 cases (16%), 32 cases (18%) respectively by cystoscopic finding, bimannual examination, operation finding, pathological finding and clinical finding. 9. TUC was performed in 76 cases and partial cystectomy in 52 cases with low stage tumors and Bricker`s operation with or without total cystectomy in 47 cases with high stage or multiple low stage tumors that could not be performed TUC or partial cystectomy. 10. 3 years after treatment 27 cases (35.5%) were followed up and 18 cases (66.7%) were survived by TUC, 18 cases (34.6%) were followed up and 11 cases (61.1%) were survived by partial cystectomy and 14 cases (29.8%) were followed up and 6 cases (42.(%) were survived by Bricker`s operation: In conclusion, TUC and partial cystectomy are adequate treatment for low stage bladder cancer and give the patients good quality and length of life, revealed same survival rate as other authors by Bricker`s operation for high stage or multiple low stage bladder cancer.