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[Infiltrating bladder carcinoma with metastatic lymph node involvement: radical treatment and survival].

Authors :
de Castro Barbosa F
Sánchez de la Muela P
Rosell Costa D
Aguera Fernández L
Isa Kroon W
Robles García JE
Zudaire Bergera JJ
Berián Polo JM
Source :
Actas urologicas espanolas [Actas Urol Esp] 1992 Jan; Vol. 16 (1), pp. 58-62.
Publication Year :
1992

Abstract

Presentation of the results obtained from the study of 64 patients with T2-4 stage vesical carcinoma, treated with radical cystectomy, local lymphadenectomy, with and without complementary radiotherapy, with and without neoadjuvant chemotherapy. The univariate study of 19/64 patients with microscopic nodular disease revealed a significant relationship with the pathological stage but not with the clinical stage. The multivariate study demonstrated that the most relevant prognostic factors are a decrease in tumoral stage (P) and the presence of vascular and/or lymphatic involvement in the TUR-biopsy. The analysis of survival confirms the poor prognosis of patients with metastatic nodular involvement, in spite of the association of pelvic radiotherapy or neoadjuvant chemotherapy to the treatment.

Details

Language :
Spanish; Castilian
ISSN :
0210-4806
Volume :
16
Issue :
1
Database :
MEDLINE
Journal :
Actas urologicas espanolas
Publication Type :
Academic Journal
Accession number :
1590075