Radical Cystectomy for Invasive Bladder Cancer: Contemporary Results and Remaining Controversies

The impact of stage progression of superficial cancer to invasive disease is profound. However, the optimal–timed management of invasive bladder cancer is still controversial. Pelvic lymph node dissection and radical cystectomy are considered to be the optimal therapy regarding local tumor control a...

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Veröffentlicht in:European urology 2000-08, Vol.38 (2), p.121-130
Hauptverfasser: Gschwend, Jürgen E., Fair, William R., Vieweg, Johannes
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container_title European urology
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creator Gschwend, Jürgen E.
Fair, William R.
Vieweg, Johannes
description The impact of stage progression of superficial cancer to invasive disease is profound. However, the optimal–timed management of invasive bladder cancer is still controversial. Pelvic lymph node dissection and radical cystectomy are considered to be the optimal therapy regarding local tumor control and ultimate cure of cancer, whereas chemotherapy offers the only viable but limited option for patients with distant metastasis or locally advanced disease. Identification of conventional and molecular prognostic factors to predict cancer–specific survival following radical cystectomy is one important step to identify candidates that may benefit from early cystectomy or adjunct chemotherapy. With this background, the results of historic and contemporary radical cystectomy series for carcinoma of the bladder are reviewed.
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source Karger Journals; MEDLINE
subjects Biological and medical sciences
Cystectomy
Humans
Lymphatic Metastasis
Male
Medical sciences
Neoplasm Invasiveness
Neoplasm Metastasis
Neoplasm Staging
Neoplasms, Second Primary - epidemiology
Prognosis
Prostatic Neoplasms - pathology
Reproducibility of Results
Review
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the urinary system
Survival Rate
Urethral Neoplasms - surgery
Urinary Bladder Neoplasms - mortality
Urinary Bladder Neoplasms - pathology
Urinary Bladder Neoplasms - surgery
title Radical Cystectomy for Invasive Bladder Cancer: Contemporary Results and Remaining Controversies
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