SURVIVAL OF PATIENTS WITH BLADDER CANCER WHO HAD PARTIAL CYSTECTOMY IS BETTER THAN THOSE WHO HAD RADIOTHERAPY
Abstract: To evaluate the
survival on patient who had muscle invasive bladder cancer that had been
operated or radiotherapy at Sardjito Hospital Yogyakarta. Material &
method: From the year 2004-2010, we were data the patients with muscle invasive
bladder cancer that had been operated or radiotherapy at Sardjito Hospital. We
studied the age when diagnosed, gender, TNM status, histophatologic finding,
histophatologic grade, kinds of surgery and status when follow-up. We evaluated
the survival of each patient until 5-years post-surgery. We did bivariate
analyze to assess the correlation of patient survival and TNM status,
histophatologic grade, clinical stadium and kinds of management. We use Kaplan
Meier curve to assess the the survival of patient who had muscle invasive
bladder cancer. Results: There were 37 patients with bladder cancer, 3 female
patients (8.1%) and 34 male patients (91.9%). Five patients were performed
radical cystectomy, 4 patients performed partial cystectomy and 28 patients
performed TUR-BT and radiotherapy. There were no significant correlation on the
patient survival who had muscle invasive bladder cancer with gender, age, stadium,
TNM staging, histopathologic grade and kinds of management (p>0.05). From
Kaplan Meier curve, we found that the patients survival was better on stadium
I, staging T1, N0, M0 and histopathologic G1 grade. While based on kinds of
management, patients were performed partial cystectomy had the survival rate
better than the one who only performed TUR-BT and radiotherapy. Conclusion: The
surgery of partial cystectomy had a better survival rate than TUR-BT and
radiotherapy.
Keywords: Survival; bladder
cancer; muscle invasive
Author: Denny Achmad Prayoga,
Untung Tranggono
Journal Code: jpkedokterangg170007
