1988 Volume 79 Issue 5 Pages 772-779
A statistical study was made on 32 advanced bladder cancer patients who underwent patial cystectomy between 1970 and 1984 in our clinic. 12 patients of them were treated by multidisciplinary therapy including partial cystectomy, chemotherapy and radiation therapy.
In the patients treated by multidisciplinary therapy actual 3-years survival rate and 5-years survival rate were 83.3% and 74.1%, respectively. A significant difference between the patients treated by multidisciplinary therapy and non-multidisciplinary therapy was observed. Multidisciplinary therapy was effective for advanced bladder cancer at any stage, especially at stage pT2-pT3a. Multidisciplinary therapy has effect on cases of infiltrative type β, γ, and on lymphatic and venous invasive cases.
We consider that partial cystectomy is indicated for advanced bladder cancer when the following conditions are met.
1) Primary case
2) Localized bladder cancer
3) No atypical epitherium at other regions
4) Stage pT2-pT3a
5) No lymph node and sistant metastasis
6) Satisfactory bladder function
When the above described criteria, are fulfilled, adding to chemo-radiotherapy, partial cystectomy for advanced bladder cancer is a curative therapy. Furthermore, partial cystectomy can preserve bladder function and, therefore, is useful for keeping the quality of life.
