Document Detail


Management of abdominal aortic aneurysm and invasive transitional cell carcinoma of bladder.
MedLine Citation:
PMID:  8437249     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between January 1980 and June 1990 we treated 21 patients with invasive carcinoma of the bladder and abdominal aortic aneurysm. Three distinct groups of patients were identified. Group 1 comprised 8 patients who were initially diagnosed with invasive bladder cancer and during cancer staging a concomitant abdominal aortic aneurysm was found. Group 2 consisted of 10 patients previously treated for invasive bladder cancer who had aneurysmal disease at a later date. Group 3 included 3 patients who underwent a previous aneurysm repair and subsequently had invasive carcinoma of the bladder. Total survival was 9 of 21 patients (43%) with a mean of 84 months of followup after initial diagnosis. This finding is comparable to long-term (greater than 5 years) survival in patients with invasive carcinoma of the bladder alone. In fact, none of the 21 patients studied experienced rupture of the aneurysm and/or died of aneurysmal disease. We found that patients with abdominal aortic aneurysm and invasive bladder cancer have a poor overall prognosis. Although aneurysm repair presents technical challenges, mortality is dependent upon the carcinoma and other vascular or medical diseases, and does not bear direct relationship to abdominal aortic aneurysm.
Authors:
M F Lierz; B E Davis; M J Noble; S P Wattenhofer; J H Thomas
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  149     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1993-03-22     Completed Date:  1993-03-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  476-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, University of Kansas Medical Center, Kansas City 66105.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Aortic Aneurysm, Abdominal / complications,  mortality,  therapy*
Carcinoma, Transitional Cell / complications,  mortality,  pathology,  therapy*
Female
Follow-Up Studies
Humans
Male
Neoplasm Invasiveness
Postoperative Complications
Survival Rate
Treatment Outcome
Urinary Bladder Neoplasms / complications,  mortality,  pathology,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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