Incidence of recurrent bladder cancer in patients requiring admission for abdominal pain long after cystectomy
✍ Scribed by Phillips, John L.; Salem, Ronald R.
- Publisher
- John Wiley and Sons
- Year
- 1996
- Tongue
- English
- Weight
- 326 KB
- Volume
- 63
- Category
- Article
- ISSN
- 0022-4790
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✦ Synopsis
Background: Malignant disease is often considered in the workup of the acute abdomen, especially when there is a history of intra-abdominal, neoplastic disease. The treatment of bladder cancer frequently involves intra-abdominal procedures, but the incidence of recurrent bladder cancer as the cause of an acute abdomen is unknown. Methods: In a retrospective, 13-year study, the cause of abdominal pain in 29 patients with a history of surgery for bladder cancer was reviewed. Evaluations included analysis of all clinical, laboratory, radiologic, and pathologic data prior to and during hospitalization, where available.
Results: Fourteen of 18 patients 38.9 t 10.8 months after cystectomy and 10 of 11 patients 18.9 ? 10.8 months after noncystectomy procedures had recurrent bladder cancer. Computed tomography, when used, identified all cases of recurrent cancer prior to exploratory surgery.
Conclusion:
Abdominal pain requiring admission in patients with a remote history of cystectomy for bladder cancer is likely due to recurrent disease.