Partial Cystectomy in the Treatment of Transitional Cell Carcinoma of the Bladder: A Review of 24 Cases

Yoon, Jai Young; Lim, Su Kil

Abstract

A retrospective study of 24 partial cystectomies done between April, 1978 and October, 1982 was undertaken to evaluate the proper role of the procedure in the treatment of bladder carcinoma. The following results were obtained:1. During this period, there were 84 cases of bladder tumor and partial cystectomy was performed in 24 cases(28.6%). 2. there were 20 males and 4 females with a ratio of 5:1 and 62.5 per cent of the patients were over 50 years old. 3. 54 per cent of the patients visited the hospital within 3 months after the occurrence of the initial symptom, 95.8 per cent within 1 year. 4. The most common presenting symptoms were hematuria (100%), frequent urination (45.8%), painful urination (29.1%) and voiding difficulty(25%). 5. The most common site of origin was lateral wall(58.3%) and 25% of the patients were located at the dome of bladder. 6. Of the entire group of 24 patients 15 cases were followed up. High stage(B2 or C) or high grade(III or IV)tumor recurred in all cases and recurred earlier than low stage or low grade tumor. In conclusion, partial cystectomy is adequate treatment for low stage and low grade bladder tumor.