[Intradiverticular tumors of the bladder: diagnostic and therapeutic problems about 32 cases]

The transitional cell carcinoma within the bladder diverticular is a rare and poorly known entity. To evaluate diagnostic and therapeutic approaches of transitional cell carcinoma within the bladder diverticular. Thirty men and two women [median: 70 years; 44- 83 years] were included. The main reason for consultation was hematuria. The intra-diverticular tumor was suspected by radiological assessment in 9 patients only. All these patients underwent an endoscopic resection of the tumor. The histological study concluded to a pta stage in 16 patients, pt1 stage in 8 patients and invasive tumors in 8 patients. A complementary endovesical BCG-therapy was performed in patients with superficial tumors and a radical cystectomy in patients with invasive tumors. With an average follow-up of 27 months, seven recurrences were found in the group of superficial tumors, including 3 cases of progression to invasive stage. Bladder intra-diverticular tumors are rare and more common in elderly. In a bladder diverticulum, there are superficial tumors [pta, pt1] which are the most frequent and invasive tumors. Radical cystectomy is the gold standard for invasive tumors.Endoscopic resection combined with endo-vesical immunotherapy should be reserved for superficial tumors

[Transrectal ultrasound in the diagnosis of prostate cancer]

Transrectal ultrasound is an important tool in detection and management of prostate cancer. Its role is to identify and characterize focal lesions before capsular invasion and metastases and to guide biopsy of the prostate. In this paper, we present an overview of the state of transrectal ultrasound imaging in prostate cancer