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• W2040995142 abstract "No AccessJournal of UrologyClinical Urology: Original Article1 Mar 1995Original Articles: Bladder Cancer: Management of Transitional Cell Carcinoma Involving Von Brunn's Nests Colin P.N. Dinney, Edilberto I. Ramirez, David A. Swanson, Jae Y. Ro, Richard J. Babaian, and Andrew C. von Eschenbach Colin P.N. DinneyColin P.N. Dinney More articles by this author , Edilberto I. RamirezEdilberto I. Ramirez More articles by this author , David A. SwansonDavid A. Swanson More articles by this author , Jae Y. RoJae Y. Ro More articles by this author , Richard J. BabaianRichard J. Babaian More articles by this author , and Andrew C. von EschenbachAndrew C. von Eschenbach More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)67610-9AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We reviewed data collected from 371 patients with superficial transitional cell carcinoma of the bladder to determine whether carcinoma within von Brunn's nests is a risk factor for cancer progression and an indication for radical cystectomy. Cystectomy was done in 20 of 73 patients (27%) with transitional cell carcinoma in von Brunn's nests and in 42 of 298 patients (14%) without von Brunn's nest involvement. There was no significant difference in the Kaplan-Meier crude and disease-specific survival between patients with and without transitional cell carcinoma in von Brunn's nests, irrespective of whether radical cystectomy was performed initially. Of those patients with von Brunn's nest involvement none who underwent cystectomy died of bladder carcinoma, while 3 (6%) managed conservatively died of bladder cancer. Of those patients without von Brunn's nest involvement 1 (5%) managed with cystectomy and 9 (4%) managed conservatively died of bladder carcinoma. Furthermore, only 8 patients (15%) with and 29 (11%) without transitional cell carcinoma in von Brunn's nests showed disease progression after initial conservative management. Based on this analysis, our conclusion is that transitional cell carcinoma within von Brunn's nests is not a risk factor for disease progression or an absolute indication for radical cystectomy. References 1 : The etiology and pathology of pyelitits cystica, ureteritis cystica and cystitis cystica. Amer. J. Path.1928; 4: 33. Google Scholar 2 : The incidence of cell nests, cystitis cystica and cystitis glandularis in the lower urinary tract revealed by autopsies. J. Urol.1972; 108: 421. Link, Google Scholar 3 : The prevalence and significance of Brunn's nests, cystitis cystica and squamous metaplasia in normal bladders. J. Urol.1979; 122: 317. Link, Google Scholar 4 : Lesions of the urinary bladder epithelium in 125 autopsy cases. Acta Path. Jap.1981; 31: 545. Google Scholar 5 : Epithelial lesions of the urinary bladder in three hundred and thirteen autopsy cases. Jap. J. Res.1987; 78: 1074. Google Scholar 6 : Further observations on carcinoma in situ of the urinary bladder: silent but extensive intraprostatic involvement. Cancer1975; 36: 514. Google Scholar 7 : TNM classification for urological tumours (UICC)--1974. Brit. J. Urol.1975; 47: 1. Google Scholar 8 : Histological Typing of Urinary Bladder Tumours. International Histological Classification of Tumours, No. 10. Geneva: World Health Organization1973. Google Scholar 9 : Histological grading of transitional cell tumors of the bladder. Value of histological grading (WHO) in prognosis. Eur. Urol.1979; 5: 311. Google Scholar 10 : Calculation of survival rates for cancer. Mayo Clin. Proc.1950; 25: 270. Google Scholar 11 : Cystectomy for superficial bladder cancer. Urology1981; 18: 459. Google Scholar 12 : The role of radical cystectomy in the management of high grade superficial bladder cancer (PA, P1, PIS and P2). J. Urol.1990; 144: 641. Google Scholar 13 : Conservative management of muscle-infiltrating bladder cancer: prospective experience. J. Urol.1987; 138: 1162. Link, Google Scholar 14 : Bacillus Calmette-Guerin therapy for superficial bladder cancer: a 10-year followup. J. Urol.1992; 147: 1020. Link, Google Scholar 15 : Non-invasive papillary carcinoma of the bladder associated with carcinoma in situ. J. Urol.1976; 116: 575. Link, Google Scholar 16 : Superficial bladder cancer: progression and recurrence. J. Urol.1983; 130: 1083. Abstract, Google Scholar 17 : Prognostic parameters in superficial bladder cancer: an analysis of 315 cases. J. Urol.1982; 127: 250. Link, Google Scholar 18 : Superficial bladder tumors. Aspects of clinical progression. Urology1974; 4: 414. Google Scholar 19 : Survival following transurethral resection of bladder carcinoma. Cancer Res.1977; 37: 2895. Google Scholar 20 : The plight of the patient with carcinoma in situ of the bladder. J. Urol.1970; 103: 160. Link, Google Scholar From the Departments of Urology and Pathology, University of Texas M. D. Anderson Cancer Center, Houston, Texas© 1995 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 153Issue 3SMarch 1995Page: 944-949 Advertisement Copyright & Permissions© 1995 by American Urological Association, Inc.MetricsAuthor Information Colin P.N. Dinney More articles by this author Edilberto I. Ramirez More articles by this author David A. Swanson More articles by this author Jae Y. Ro More articles by this author Richard J. Babaian More articles by this author Andrew C. von Eschenbach More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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