The Value of Excretory Urography in Staging Bladder Cancer.
- Author:
Wun Jae KIM
1
;
Sang Eun LEE
;
Young Kyoon KIM
Author Information
1. Department of Urology, College of Medicine, Seoul National University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
bladder tumor;
excretory urography;
staging
- MeSH:
Carcinoma, Transitional Cell;
Cystectomy;
Diagnosis;
Humans;
Neoplasm Metastasis;
Ureteral Obstruction;
Urinary Bladder Neoplasms*;
Urinary Bladder*;
Urography*
- From:Korean Journal of Urology
1987;28(1):1-3
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Disagreement exists about the accuracy of excretory urography in the staging of bladder cancer. During a 2O year period 1O8 of 537 patients with transitional cell carcinoma of the bladder had ureteral obstruction on excretory urography at the time of initial diagnosis. 93 patients (86%) had muscle invasion at staging transurethral resection or open resection. Of those patients 37 had total cystectomy, 4 had partial cystectomy, 5 had curative radiation therapy and the remainder had no further treatment. Ureteral obstruction at the time of initial diagnosis of bladder cancer usually indicates muscle invasion and/or metastases. We believe that our data support the usefulness of excretory urography as a staging tool in carcinoma of the bladder.