A clinicopathologic evaluation of partial cystectomy for carcinoma of the urinary bladder

Abstract

Segmental resection of the bladder was performed on 199 patients as definitive therapy for cancer. Six patients were lost to followup and there were 6 hospital deaths. Followup of the other 187 patients showed that 43% lived 5 years or longer. Survival rates for patients with lesions of Stage B2 and C were 40% and 29%, respectively; those for patients with cancers of Grade 3 and Grade 4 were 46% and 21%, respectively. Partial cystectomy may not appeal to every urologist as the paragon of procedures for vesical neoplasm. On reflection of this reported experience, however, this time-honored operation represents the best available treatment for specific varieties of cancer of the bladder.