Abstract |
Even though radical cystectomy still remains the 'gold standard' for the treatment of invasive bladder cancer, newer insights and developments are entering the urological arena: a 'tailored' surgical approach combining a less extensive procedure and a better quality of life seems feasible for selected patients without compromising the outcome; the type of urinary diversion has no impact on the risk of complications, the ability to receive postoperative salvage treatments and the natural history of the disease; the depth of extension of the tumour and the nodal involvement are the only independent 'classical' predictors of survival after radical cystectomy; pelvic node dissection is curative in patients with limited nodal involvement; the clinical application of newer molecular prognostic factors still remains controversial.
|
Authors | P Bassi |
Journal | Current opinion in urology
(Curr Opin Urol)
Vol. 10
Issue 5
Pg. 459-63
(Sep 2000)
ISSN: 0963-0643 [Print] United States |
PMID | 11005452
(Publication Type: Journal Article, Review)
|
Topics |
- Cystectomy
(methods)
- Female
- Humans
- Lymphatic Metastasis
- Male
- Neoplasm Invasiveness
- Neoplasm Staging
- Postoperative Complications
- Prognosis
- Quality of Life
- Risk Factors
- Salvage Therapy
- Treatment Outcome
- Urinary Bladder Neoplasms
(pathology, surgery)
|