Can immediate second resection be an alternative to standardized second transurethral resection of bladder tumors?
| Autor: | Çetin Dinçel, Cengiz Girgin, Haluk Söylemez, Sacit Nuri Gorgel, Engin Doğantekin |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Residual tumor status Immediate Group ii 030232 urology & nephrology Resection 03 medical and health sciences 0302 clinical medicine Bladder tumor Medicine Humans Pathological Demography Medicine(all) lcsh:R5-920 Bladder cancer medicine.diagnostic_test business.industry Primary resection Transurethral resection General Medicine Cystoscopy Middle Aged medicine.disease Surgery Urinary Bladder Neoplasms 030220 oncology & carcinogenesis Female business lcsh:Medicine (General) |
| Zdroj: | Kaohsiung Journal of Medical Sciences, Vol 32, Iss 3, Pp 147-151 (2016) |
| ISSN: | 2410-8650 |
| Popis: | This study analyzed the impact of an immediate second transurethral resection of bladder tumor (TURBT) protocol on residual tumor status at the initial TURBT session and the recurrence rate in the primary resection area. We prospectively evaluated and randomized 47 consecutive patients who underwent TURBT sessions for bladder cancer. In accordance with the inclusion criteria, of the 47 consecutive patients, 19 (Group I) underwent immediate second resection of the tumor bed after complete TUR and 28 (Group II) did not. After standard TURBT, Group I underwent a second cystoscopy and resection of the bed of the tumor or an ignored tumor, which was performed by a different urologist. After 4–6 weeks, delayed second TURB was performed, and all pathological results were evaluated. Tumors were detected in two patients during the immediate second resection. Of these, one was a misdiagnosed tumor, whereas the other was diagnosed at the bed of the tumor by pathological examination. Tumors were detected in nine patients at the delayed second TURB, of which only one was part of Group I, while the others were part of Group II (p = 0.04). The results of this study demonstrated that residual tumors may remain after initial TURB, either in the tumor bed or in a different location within the bladder. Although this was a pilot study enrolling only a small number of patients, our initial results supported the assertion that immediate second resection can be an alternative to standard second TURBT. |
| Databáze: | OpenAIRE |
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