Is it necessary to always treat the relapses of superficial bladder tumour at the moment of diagnosis?
Martnez Cceres P; Hidalgo Arroyo JG; Chchile Toniolo GE Departamento de Urología, Instituto Médico Tecnológico, Barcelona. OBJECTIVE: To assess the expectant management superficial recurrent bladder tumours. MATERIAL AND METHODS: Between Jan 1998 and Dec 2003, 112 patients were diagnosed of superficial bladder tumour. 13 patients were observed after the diagnosis of tumour relapse until the decision to perform a transurethral resection. We analysed the clinical and pathological features. The patients were controlled with flexible cystoscopy every 3 months approximately. Of the 13 patients we count 15 observation events, (2 times in 2 patients). The decision between to treat or continue with observation was based in changes of appearance, size or number of tumours and presence of hematuria. RESULTS: With a mean age of 74.6 years (47-91). The mean observation time was 5.76 months (3-71). In the group of tumours previous to the observation period, in 12 events (10 patients) that means 80%
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