A multidisciplinary approach to bladder cancer in Pinar del Río province
Keywords:
URINARY LADDER NEOPLASMS, PATIENTS, CYSTECTOMY, TRANSURETHRAL, TOBACCO USE DISORDER.Abstract
Introduction: bladder cancer is the sixth leading cause of death among Cuban men and the tenth leading cause of death among women. This research presents an approach to the factors related to the prognosis of the disease and the therapeutic method in Pinar del Río province.
Objective: to characterize bladder cancer in patients treated at “III Congreso” Cancer Care Center in Pinar del Río province from November 2013 to March 2017.
Methods: an observational, descriptive and ambispective study was conducted including 60 cases as a target group from which a sample of patients was taken who complied with the positive histological diagnosis and the information was collected from the medical records.
Results: bladder cancer was more frequent in white-skinned men over 60 years of age. Smoking was present in 32,6 % of the patients; 75,47 % presented tumors of high and intermediate grade and 28,5 % having infiltration to the lymphovascular space; 59,18 % of the patients presented invasive muscle disease, receiving surgical treatment based on transurethral resection or partial cystectomy 80,64 %; adjuvant treatment with chemotherapy or radiotherapy was applied to 54,83 % of them. Patients with non-invasive muscle disease were treated with transurethral resection or partial cystectomy 83,1 %, where 54. 83 % underwent adjuvant treatment with BCG. Disease-free survival was 86,1 % and the mean 35,3 months.
Conclusions: bladder cancer was presented with unfavorable prognostic factors requiring the use of multiple modalities of treatment for its management.
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