By J. Stephen Jones (auth.), Cheryl T. Lee, David P. Wood (eds.)
In Bladder melanoma: relocating the sector ahead, Cheryl Lee, David wooden, and a panel of best experts and researchers supply a entire evaluate of the comparable literature, whereas supplying insights into the hindrances of enhanced survival and talk about how to develop the sector of Bladder melanoma care. Their paintings goals to spur leading edge concepts and techniques to universal difficulties within the administration of early level and complicated ailment. The booklet discusses at size the country of bladder melanoma staging and the optimum therapy for localized sickness. extra sections evaluate the purposes of present systemic cures and view the infrastructure had to aid translational examine efforts. Groundbreaking and authoritative, Bladder melanoma: relocating the sphere ahead, is the definitive textual content at the present nation of bladder melanoma care and a must-have for all urologists and scientific oncologists who desire to offer their sufferers with the main finished care.
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Extra resources for Bladder Cancer: Diagnosis, Therapeutics, and Management
Eur Urol 2005;47(3):323–6. 26. Witjes JA, Moonen PM, van der Heijden AG. Comparison of hexaminolevulinate based flexible and rigid fluorescence cystoscopy with rigid white light cystoscopy in bladder cancer: results of a prospective Phase II study. Eur Urol 2005;47(3):319–22. 27. Zlotta A. Fluorescence cystoscopy: is flexible scope as effective as rigid? Eur Urol 2005;47(3):318. 28. Jichlinski P, Leisinger HJ. Fluorescence cystoscopy in the management of bladder cancer: a help for the urologist!
In 1975, compared the pathologic stage with the clinical stage (obtained by TURBT) and found a 40% under-staging rate (3). Klan et al. also showed significant under-staging particularly for T1 tumors (4). In 1999, Herr reported on patients who received a second TURBT after an initial resection with quite startling results (11). He found that 8% of patients who were initially staged as Ta tumors were actually found to have a T2 tumor on re-resection, and that patients with an original diagnosis of a T1 tumor were up staged to a T2 tumor 28% of the time.
This technically challenging procedure is the crux on which essentially all future therapy depends. Thus as both a diagnostic as well as a therapeutic procedure it is one of the most important urologic procedures. Unfortunately, there is a significant problem with a single TURBT providing the adequate diagnostic and therapeutic value due this procedure. Therefore, the restaging TURBT has gained favor as a method to decrease the inaccuracies of staging and to enhance treatment. In addition, the restaging TURBT 27 28 29 29 29 30 30 30 30 30 31 31 31 31 31 31 32 32 plays a major role in many therapeutic options which seek to preserve the bladder.
Bladder Cancer: Diagnosis, Therapeutics, and Management by J. Stephen Jones (auth.), Cheryl T. Lee, David P. Wood (eds.)