Relationship between hydronephrosis and patological stagien bladder cancer patients
Article published in Urologia Polska 2001/54/2.

authors

Tomasz Demkow: Klinika Nowotworów Układu Moczowego Instytutu Onkologii w Warszawie Kierownik Oddziału Zabiegowego: dr n. med. Tomasz Demkow

keywords

bladder, bladder carcinoma, pathological stage, IVP, ureterohydrenephrosis

summary

Objective: The relationship between hydronephrosis and pathological stage in bladder cancer patients has been examined.

Material and method: A retrospective review of 112 patients with transitional cell cancer of the bladder who underwent cystectomy was performed. All of the patients had IVP examination. The pathological stage has been assessed according to TNM classification.

Results: Preoperative IVP examination revealed unilateral hydronephrosis in 10,9% of the patients with stage £ pT3a. NO, in 38,5% of the patients with stage ^ pT3b,N0, and 48.4% of the patients with N+. Bilateral hydronephrosis and no obstruction has been found respectively in: 3.6%, 42,3%, 41,9% and 85,5%, 19,2%, 9,7% of the patients.

Conclusion: The presence of unilateral or bilateral hydronephrosis on IVP examination, performed before cystectomy for bladder cancer patients, predicted perivesical infiltration or positive lymph nodes.

references

[1] Thrasher , .1. B., Frajer, H. A.. Robertson. J. E., Dodge. R. K., Paulson. D. F.: Clinical variables which serve as predictor of cancer-specific survival among patients healed witki radical cystectomy for transitional cell carcinoma of the bladder nad prostate. Cancer, 1994. 73, 1708-1711.
[2] Skinner. D.G.: Current perspectives in management of high grade invasive bladder cancer. Cancer, 1980.45. 1866-1870
[3] Spiessl. B. Bcahrs, O. H.. llermanek. P.: Atlas TNM. 1994. pod red. Nowacki, M„ Sanmedica. Wiedza i Zycie. 274-279.r .
[4] Skinner. D. G.. Till J. P., Kaufman. J. .1.: High dose, short course preoperative radiation therapy and immediate single stage radical cystectomy witki pelvic node dissection in the management of bladder cancer. J. Urol. 1982. 127.671-676.
[5] Denis.L. Niijima, T. Prout. G. Schroder. F: Developments in bladder cancer, w EORTC Genitourinary Group Monograph i.Procce-dings of the First International Consensus Development Conference on Guidelines for Clinical Research in Bladder Cancer. Antwerp. Belgium. June 211-22. 1985. Man R. Liss. Inc. New York.
[6] Hatch, T. R.. Barry, J. M.: The value of excretory urography in staging bladder cancer. J.Urol.. 1986, 135, 49.
[7] Lang. E. K.: The roentgenographic assessment of bladder tumors A comparison of thediagnuslic accuracy of roentgenographic techniques. Cancer. 1969. 23, 717-724.
[8] Chauvert, B.. Brewer. Y.. Felix-Faurc. C. Davin, J. I... Choqu-enel. C„ Reboul. F.: Concurrent cisplatin and radiotherapy for patients with muscle invasive bladder cancer who are not candidates for radical cystectomy. J. Urol., 1996, 156. 1258-1262.
[9] Bumett. A. L. Epstein, J. L.. Marshall. F. F.: Radical cystectomy for transitionull cell carcinoma of the bladder. Long-term survival in high risk patients. Eur. Urol. 1988, 15.171 175.
[10] Mamenghan, 11- Fisher, R.: Invasive bladder cancer. Prognostic factors and results oliadioiherapy with and whiihoiu cystectomy. Br. J. Urol.. 1989. 63. 251-258.
[11] llaleblian. G. F... Skinner. E. F... Dickinson, M. G.. Lieskovsky, G.. Boyd, S. D.. Skinner. D. G.: Hydronephrosis as a prognostic indicator in bladder cancer patients. J. Urol. 1998. 160,2011-2014.
[12] Boilcau, M A.. Johnson. D. E„ Chan. R. C, Gonzales, M. O.: Bladder carcinoma: results with preoperative radiation therapy and radical cystectomy. Urology. I9S0. 16, 569-574.
[13] Kenny. G. M, Hardner. G. J., Murphy, G. P.: Clinical staging of bladder tumors. J. Urol.. 1970. 104. 720-725.
[14] Malstrom, P. U.. Busch, C. Norlen, B. J.: Reccurence. progression and survival in bladder cancer. Scan. J. Urol. Nephrol. 1987. 21, I85-195.S,

correspondence