Retrospective analysis of patients with bladder tumour in our clinic

Abstract

Objectives: In this retrospective study we aimed to evaluate the patients with bladder tumour according to recent literature and guidelines, who diagnosed and treated properly at Kahramanmaraş Sütçü Imam University Medical Faculty.Materials and Methods: 53 newly diagnosed bladder tumour patients undergoing transurethral resection TUR-BT in our clinic were enrolled into this retrospective study. Clinical and pathological data from the patients were reviewed. The patients who have at least 3 month follow-up enrolled in the study.Results: The mean patient age was 60,94 ± 12,76 years and 36 68% patients were men, 17 32% patients were women. Seventeen patients did not take any intravesical therapy, 25 patients took BCG immunotherapy and 3 patients Mitomycin-C chemotherapy; in each group no recurrence occurred at the follow-up cystoscopy. Ten patients underwent radical sistectomy, 7 of them were muscle-invasive, 2 were progressive and 1 patient was diagnosed as leiomyosarcom. While in 9 17% patients lesion was multiple, the other 44 83% were single lesion. At the operation, in 2 cases perforation and in 1 bleeding occured. After operation 3 urethral stenosis occured and the complications were appropriately treated.Conclusion: In our clinic the diagnosis, treatment and followup of the bladder tumour is performed according to the guidelines. The findings of the patients, pathology results, intravesical therapy indications and outcomes, recurrence and progression rates and complication rates are compatible with the literature

Keywords

• Bladder tumour,Transurethral resection,Bacillus Calmette-Guerin

Kliniğimizdeki mesane tümörlü hastaların geriye dönük analizi

Abstract

Amaç: Bu geriye dönük çalışmada, Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Hastanesinde tanısı konulan, takip ve tedavileri yapılan mesane tümörlü olguların güncel literatür ve kılavuzlar doğrultusunda değerlendirilmesi amaçlandı.Gereç ve yöntem: Kliniğimizde transüretral mesane tümörü rezeksiyonu TUR-MT yapılarak mesane tümörü tanısı konulan 53 hasta bu çalışmaya alındı. Hastalara ait klinik ve patolojik bilgiler gözden geçirildi. Çalışma grubu kapsamına en az 3 aylık takibi olan hastalar alındı.Bulgular: Ortalama yaşları 60,94 ± 12,76 olan hastaların 36’sı %68 erkek, 17’si %32 kadındı. Hastaların 17’si hiçbir intravezikal tedavi almazken, 25 hasta BCG immünoterapisi, 3 hasta Mitomisin-C kemoterapisi aldı ve her iki grupta da takip sistoskopilerinde nüks izlenmedi. Kasa invaze 7, progresyon gösteren 2 ve leiomyosarkom bulunan 1 vaka; toplam 10 vakaya radikal sistektomi uygulandı. Lezyon 9 %17 hastada birçok odaklı iken, diğer 44 %83 hastada tek odaklı idi. Operasyon esnasında 2 hastada perforasyon, 1 hastada kanama meydana gelirdi.Operasyon sonrasında 3 hastada üretral darlık gelişti ve komplikasyonlar usulüne uygun olarak tedavi edildi.Sonuçlar: Kliniğimizde mesane tümörü tanısı, tedavisi ve takibi kılavuzlara uygun olarak yapılmaktadır. Vakalardan elde edilen bulgular, patoloji sonuçları, intravezikal tedavi endikasyonları ve sonuçları, rekürrens ve progresyon oranları ile komplikasyon oranları literatür ile uyumluluk göstermektedir

Keywords

• Mesane tümörü,Transüretral rezeksiyon,Bacillus Calmette-Guerin

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