Clinical Observation of 27 Cases of Bladder Tumor During 1 Year

Yue, Tai Hyung

Abstract

Bladder tumor is the most common genitourinary tumor in Korea. Papillomatous growths of bladder submit to transurethral resection if diagnosed early but in invasive tumors there is still considerable disagreement about the proper treatment. We herein made clinical observation on 27 cases of bladder tumors during 1 year from January, 1977 to December . 1977. The results are as follows: 1. The rate of bladder tumor accounted for 5 % of total patients admitted to the Department of Urology. 2. The age distribution is between 36 and 73 years of age, showing the highest incidence in 51 to 60 years of age (37.1%) and 70.4 % of patients with bladder tumor are seen in 51 to 70 age groups. 3. The most common symptom was gross hematuria(74.1%). 4. Clinical staging was done by bimannual pelvic examination under the anesthesia, I.V.P. and cystoscopy with deep muscle biopsy. 5. Methods of treatment were operation only in 12 cases, operation followed irradiation in 11 cases, preoperative irradiation in 1 case and adriamycin instillation with irradiation in 1 case. 6. Operations were T.U.R. in 7cases, partial cystectomy in 8cases, total cystectomy with ileal conduit in 7 cases, ileal conduit with hypogastric artery ligation in 1 case and ureter ocutaneostomy in 1 case.