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| Authors | S Bugeja P A Zammit J Sciberras S Mattocks K German |
| Abstract | Aim: This review aims to demonstrate whether there is a trend towards earlier cystectomy for bladder cancer and whether this actually translates into improved survival and morbidity within our practice. Background: Bladder cancer accounts for almost 9 percent of all cancers diagnosed in Malta in males and just over 2 percent in females. The incidence is reported at 8.7 new cases per 100,000 population per year, an incidence comparable only to Italy in the EU. Those which are high risk superficial or muscle invasive are treated by either radiotherapy or total cystectomy. There is a global trend towards cystectomy as the preferred primary treatment for these cancers, with primary radiotherapy being reserved for surgically unfit patients or those opting for bladder conservation. Method: We are presenting a review of 55 cystectomies carried out in the Urology Unit at St Lukes Hospital over the past eight years. Data was collected in a retrospective manner by review of patients case notes, histology and radiology reports, as well as from the National Cancer and Mortality Registries. Results: We present survival figures for a follow-up period ranging between 6 months to 5 years. Survival figures are also analyzed with respect to tumor grade and stage, number of recurrences prior to definitive surgery, previous administration of radiotherapy, as well as patient risk factors. Diseasespecific survival, recurrences and morbidity are also studied. |
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| Journal | Malta Medical Journal |
| Volume | 15 Issue 1-2/suppl. 2003 |
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| Key words | bladder cancer, morbidity, survival, radical cystectomy |