Differences in Pathologic Results of Repeat Transurethral Resection of Bladder Tumor (TURBT) according to Institution Performing the Initial TURBT: Comparative Analyses between Referred and Nonreferred Group
Joint Authors
Kim, Hyeon Hoe
Kwak, Cheol
Ku, Ja Hyeon
Yuk, Hyeong Dong
Kim, Jung Kwon
Jeong, Chang Wook
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-09-06
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
Although transurethral resection of bladder tumor (TURBT) is a standard treatment and determines staging for nonmuscle invasive bladder cancer, many deficiencies persist.
There is a risk of upstaging and residual cancer when repeat TURBT is performed.
Authors compared the results of repeat TURBT by institution performing the initial TURBT.
Methods.
We retrospectively reviewed the medical records of 289 patients who underwent repeat TURBT within 2-6 weeks after initial TURBT between 1998 and 2013.
The patients were divided into the referred group and the nonreferred group by institution performing the initial TURBT.
And we analyzed the intergroup differences in residual tumor and upstaging rate and the factors significantly correlated with residual tumor.
Results.
The mean age was 69.6 ± 11.1 years and the mean follow-up was 49.7 (range: 0–191) months.
The referred group included 69 patients, while the nonreferred group included 220 patients.
The referred group included 57 (82.6%) patients with residual tumor after repeat TURBT.
Overall upstaging occurred in 15 (21.7%), and upstaging to T2 occurred in 11 (15.9%) of the initial Ta and T1 patients.
In the nonreferred group, there were 123 (55.9%) patients with residual tumor.
Overall upstaging occurred in 10 (4.5%) and upstaging to T2 occurred in 7 (3.2%) patients.
Conclusions.
Gross hematuria, grade, and tumor quantity and size were significantly associated with residual cancer on multivariate analysis.
In the referred group, repeat TURBT and restaging are necessary.
American Psychological Association (APA)
Yuk, Hyeong Dong& Kim, Jung Kwon& Jeong, Chang Wook& Kwak, Cheol& Kim, Hyeon Hoe& Ku, Ja Hyeon. 2018. Differences in Pathologic Results of Repeat Transurethral Resection of Bladder Tumor (TURBT) according to Institution Performing the Initial TURBT: Comparative Analyses between Referred and Nonreferred Group. BioMed Research International،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1129748
Modern Language Association (MLA)
Yuk, Hyeong Dong…[et al.]. Differences in Pathologic Results of Repeat Transurethral Resection of Bladder Tumor (TURBT) according to Institution Performing the Initial TURBT: Comparative Analyses between Referred and Nonreferred Group. BioMed Research International No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1129748
American Medical Association (AMA)
Yuk, Hyeong Dong& Kim, Jung Kwon& Jeong, Chang Wook& Kwak, Cheol& Kim, Hyeon Hoe& Ku, Ja Hyeon. Differences in Pathologic Results of Repeat Transurethral Resection of Bladder Tumor (TURBT) according to Institution Performing the Initial TURBT: Comparative Analyses between Referred and Nonreferred Group. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1129748
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1129748