A clinical observation was made on 127 patients with bladder tumor, admitted to the Department of Urology, Chonnam University Medical School Hospital during the period from January, 1979 to December, 1984.
The following results were obtained:
1. There were 127 patients with bladder tumor, being 5.4 percent of a total of 2,360 in-patients during the period.
2. Of the patients with bladder tumor, 106 were males and 21 females with a ratio of 5 to 1 Ages were ranged from 6 months to 84 years with a mean age of 51.9 years and 81.1 percent of the patients being over 50 years of age.
3. The most common symptom was gross hematuria in 94.5 percent of the patients and frequency in 15.7 percent painful urination in 12.6 percent and dysuria in 10.2 percent were observed in order.
Seventy four percent of the patients came with 1 year of their first trouble and only 3.1 percent delayed more than 5 years.
4. Of 124 patient, 40 (32.3 percent) had tumors in the posterior wall of the bladder and 83 (66.9 percent) had single tumor when first seen.
5. Of 114 patients on which an IVP was performed, 78 (68.4 percent) revealed normal upper urinary tracts and 85 (74.6 percent) showed filling defects in the bladder.
6. The most common of the associated diseases were hypertension in 11 cases and benign prostatic hyperplasia in 10. Concurrent transitional cell carcinoma in the renal pelvis and/or ureter or urethra were found in 11 patients (8.7 percent) of 127 patients with bladder tumor. Different malignancies developed in other organs except the bladder were associated in 10 patients (7.9 percent) of 127 patients with bladder tumor all their lives.
7. Pathologic examination of specimens from 111 cases revealed transitional cell carcinoma in 102 (91.9 percent). Classified according to the grade and stage, the most common was grade II found in 49 cases (44.2 percent) and stage A observed in 49 cases (44.2 percent).
8. A total of 155 operations, including 39 subsequent operations for recurrences was performed on 116 patients. They were 55 TUR, 36 open resection, 43 partial cystectomy, 20 total cystectomy with ileal conduit and 1 suprapubic cystostomy.
9. There were 47 recurrences in 35 (41.7 percent) of 84 patients initially operated and followed up. Of these recurrences, 24 (51.1 percent) occurred within 1 year of followup.
Tumor recurrences were observed in 31 (81.6 percent) of 38 patients treated by surgery only, but in 16 (32.0%) of 50 patients treated by surgery plus intravesical chemotherapy.
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