Clinical Observation on the Bladder Tumor / 대한비뇨기과학회지

ABSTRACT

A clinical observation was made on the bladder tumors of the inpatients in the Department of Urology, Seoul National University Hospital during the period January. 1957 through June, 1967. During the period, of 1.836 cases (1,372 males and 464 females) hospitalized, 99 cases had bladder tumors, giving a rate of 5.3%. Among the 99 cases, 88 cases could be studied and the following results were obtained. 1. Among the 88 cases, 68 cases were male and 20 cases were female with ratio of 3.4 to 1. 2. Age distribution ranged from 22 years to 79 years, 70.5% of cases were in the age group of 4o~69. 3. Hematuria which occurred in 80 cases is the most common initial disturbance. The other common manifestations are frequency, dysuria and urinary retention as in order. 4. 54 cases or 61.5% of the cases visited to hospital within one year after the occurrence of initial disturbance. 5. 37.8% of the cases involved in the lateral wall, 30.7% in the posterior wall, 12.1% in the entire wall and 7.9% in the trigone. 6. As the methods of treatments, T.U.R. was performed 43 times, 29 time of electrocoagulation through suprapubic cystotomy and 12 times of partial resection of the bladder were done. 7. Among 88 cases, pathologic diagnosis was made in 72 cases. Transitional cell carcinoma is observed in 62 cases, adenocarcinoma in 4 cases, metastatic carcinoma in 3 cases and squamous cell carcinoma in 1 case. 8. 27 (30.7%) cases had had follow-up studies one or more times for 2 months to six and half years. At the first follow-up study 6 cases were tumor free and 21 cases had recurrent tumors.