Correlation between clinical and pathological staging in a series of radical cystectomies for bladder carcinoma

OBJECTIVE To analyse the rate of concordance between the clinical and pathological Tumour‐Nodes‐Metastasis staging systems in a homogeneous series of patients who had undergone radical cystectomy for locally advanced or recurrent multifocal superficial bladder carcinoma. PATIENTS AND METHODS The cli...

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Bibliographic Details
Published in:BJU international 2005-04, Vol.95 (6), p.786-790
Main Authors: Ficarra, Vincenzo, Dalpiaz, Orietta, Alrabi, Najati, Novara, Giacomo, Galfano, Antonio, Artibani, Walter
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
bladder cancer
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - surgery
Carcinoma, Transitional Cell - pathology
Carcinoma, Transitional Cell - surgery
Cystectomy - methods
Female
Humans
Lymph Node Excision - methods
Lymphatic Metastasis
Male
Medical sciences
Middle Aged
Neoplasm Recurrence, Local - pathology
Neoplasm Recurrence, Local - surgery
Neoplasm Staging - methods
Nephrology. Urinary tract diseases
radical cystectomy
Retrospective Studies
Risk Factors
squamous cell carcinoma
staging
survival
TCC
TNM
Tumors of the urinary system
Urinary Bladder Neoplasms - pathology
Urinary Bladder Neoplasms - surgery
Urinary tract. Prostate gland
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Summary:OBJECTIVE To analyse the rate of concordance between the clinical and pathological Tumour‐Nodes‐Metastasis staging systems in a homogeneous series of patients who had undergone radical cystectomy for locally advanced or recurrent multifocal superficial bladder carcinoma. PATIENTS AND METHODS The clinical data of 156 patients who had undergone radical cystectomy and bilateral iliaco‐obturator lymphadenectomy for bladder cancer in our department were analysed retrospectively. RESULTS The clinical stage of the primary tumour was carcinoma in situ in three patients (1.9%), cT1 in 67 (42.9%), cT2 in 70 (44.9%), cT3 in five (3.2%) and cT4 in nine (5.8%). Clinical lymph node involvement was detected in 19 patients (12.2%). The differences between clinical and pathological stages were statistically significant (P 
ISSN:1464-4096
1464-410X
DOI:10.1111/j.1464-410X.2005.05401.x