20 years of experience with subtotal cystectomy for bilharzial bladder carcinoma: follow-up of 29 cases

Twenty-nine patients with carcinoma of the bilhaazial bladder were treated by subtotal cystectomy and augmentation cystoplasty. The postoperative mortailty rate was 3.4%. The five years survival was 37.9%. Correlation of the survival figures relative to the grade and stage of the tumour revealed that the lower the grade and stage the better the prognosis. In most cases, treatment failures were due to local recurrence which developed within 18 months after operation. The long term survival results of segmental resection versus radical cystectomy for treatment of invasive bladder carcinomas are discussed

Further experience with primary carcinomas of ureteric stump

Our preliminary experience with primary tumours of the ureteric stump has previously been published [El-Shawaf et al, 1979]. Additional two cases are presented. In our review of the iterature untill 1990, we found only 19 cases. No other primary tumours in isolated stumps were reported. A review of the fate and incidence of disease in ureteric stump is given. The number, histological type, symptoms and pro-operative diagnosis of ureteric stump tumours are discussed

Primary tumours of the ureter: a retrospective study of 18 cases

During a 9-year period, 18 patients with primary ureteral tumours were seen in our Center. The lesion was transitional cell carcinoma in 17 patients and benign villous papilloma in one. The age of patients ranged from 35 to 75 years, with the highest incidence between the sixth and seventh decades. Males were more frequently affected than females, and the lower third of the ureter was the most common site. Haematuria and flank pain were the commonest presenting features. Total nephroureterectomy with exicision of bladder cuff was done in all cases. Most of the patients living without recurrence are belonging to stage A disease. Ten patients are alive for more than one year while 6 are alive less than 3 years. Three patients presented 5-year survival free from disease

Bladder cancer in Egypt: a comparative study of histopathological changes over years

The histopathological results of 159 cases of bilharzial bladder carcinoma admitted between 1969-1974 were compared with the results of another 754 admitted between 1986-1991. The aim was to find [or not] any histopathological changes over years. Results indicate that cancer bladder in Egypt has certain particular pathological features. Changes in mass population, exposure to different carcinogens and adequate management are thought to have significant implications on the histopathological nature of the disease. There is significant decrease of squamous cell carcinomas with a concomitant increase of undifferentiated tumours. Superficial [P1] tumours are significantly increasing with a decrease of P2 and P4 tumours. There is no significant change in the incidence of lymph node involvement over years