CANCER URINARY BLADDER 5 YEAR EXPERIENCE AT CENAR, QUETTA

Authors

  • ROOH ULLAH
  • J NUSRAT
  • SRH I HAMDAN
  • CM Burdy
  • A Khurshid

Abstract

Background: Purpose of this study was to sec the incidence, age. sex. ideographical distribution, symptoms,personal habits, signs, histo-pathology. early diagnosis and management of cases of Cancer Urinary Bladder (CaIB) in the patients coming to CTNAR. Quetta. Pakistan Methods: A retrospective study was conducted at ClVAR for a period of 5 years from I'1 Jan 1993 to 3I-1 Dec. 97. In which about 100 cases of cancer of urinarybladder were included, out of which 82 patients were male and 12 were females. Results: During our 5-yearperiod of study. 3571 new cases of cancer were registered at CENAR, out of which 100 (2 8% of total No. ofcases) were of Ca UB. Hence 20 new cases of Cl UB per year were registered at CTNAR I he maximum numberof cases was registered in 1996 Conclusion: Our study concluded that Ca UB occurs more in male with a malefemale ratio of 4.5 I and a high incidence after 40 years of age. No patient below 20 was reported.Histopathologically. Transitional Cell Carcinoma was dominating (75%). Other histological types seen weresquamous cell carcinoma 14%). Adenocarcinoma 13%). UD (5%) and HPNA (10%) A considerable number ofpatients were using different preparations of tobacco (cigarette smoking (6%). Hubble-Bubble (5%) and Niswar(Snuff) (12%). The patients were mainly treated with Radiotherapy, because at the time of reporting they werealready in stage II or beyond (97%). Some patients were also treated by surgery such as TUR. partial or radicalcystectomy. A few patients (6%) also received chemotherapy.

References

Boring CC, squares TS, Tong T. et. Al. Cancer Statistics.

Cancer J clin 44 7-26, 1994.

Claysen DB Recent research into occupational bladder,

pp 13-24 Progress in cancer research & therapy vol 18

New York Raven press 1981.

Johansson D.E., Boileau M.A., Bladder cancer

Genitourinary Tumors Fundamental Principles &

Surgical techniques of 399 0 447 New York Grune &

Stratton 1982.

Principles & practice if Radiation Oncology third edition

by Carlos A Peres M D & Luther W Brady MD.

Practical Radiotherapy Planning by Jane Dobbs.

Management of the patients with cancer Third Edition by

Thomas F. Nealon JR. M.D.

Cris M I copping improved local control of invasive

bladder cancer by concurrent cisplatin and preoperative

of definite radiation, Journal of clinical oncology Vol 14.

No 11, Nov. 1996

Graven KM Spra J A Solin L J et al. Local recurrence

after cystectomy along for bladder carcinoma Cancer 69

, 2770, 1992.

Heney NM Nocks BN, Daly, JJ et al. Ta and H bladder

cancer Location recurrence and progression Br. J Urol.

153 0 157, 1982.

Radwin HM Radiotherapy & bladder cancer Acritical

review J Urol 124 43 – 46, 1980.

Rubben H Lutzeyes. W. Wallace DMA. The

epidemiology and etiology of bladder cancer in Zungg

EJ, Wallace DMA eds. Bladder cancer ppt 1 New York

Springer – Verlage 1985