Clinical Outcomes Following Radical Cystectomy for Primary Nontransitional Cell Carcinoma of the Bladder Compared to Transitional Cell Carcinoma of the Bladder

Craig G. Rogers, Ganesh S. Palapattu, Shahrokh F. Shariat, Pierre I. Karakiewicz, Patrick J. Bastian, Yair Lotan, Amit Gupta, Amnon Vazina, Amiel Gilad, Arthur I. Sagalowsky, Seth P. Lerner, Mark P. Schoenberg

Research output: Contribution to journalArticle

Abstract

Purpose: The effect of bladder cancer histological subtypes other than transitional cell carcinoma (nonTCC) on clinical outcomes remains uncertain. We conducted a multi-institutional retrospective study of patients with bladder cancer treated with radical cystectomy to assess the impact of nonTCC histology on bladder cancer specific outcomes. Materials and Methods: A total of 955 consecutive patients underwent radical cystectomy with bilateral pelvic lymphadenectomy for bladder cancer at 3 academic institutions. TCC was present in the radical cystectomy specimen in 888 patients (93%). NonTCC histology was present in 67 patients (7%), including squamous cell carcinoma in 26, adenocarcinoma in 13, small cell carcinoma in 10 and other nonTCC subtypes (ie spindle cell carcinoma, carcinosarcoma and undifferentiated carcinoma) in 18. For patients alive at last followup median followup was 39 and 23 months for patients with TCC and nonTCC histologies, respectively. Bladder cancer specific progression and survival were assessed using Kaplan-Meier and multivariate Cox proportional hazards analyses. Results: Bladder cancer specific progression and mortality did not differ significantly between patients with SCC and TCC histologies. Patients with nonTCC and nonSCC bladder cancer were at significantly increased risk for progression and death compared to patients with TCC or SCC (p

Original languageEnglish (US)
Pages (from-to)2048-2053
Number of pages6
JournalJournal of Urology
Volume175
Issue number6
DOIs
StatePublished - Jun 2006

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Transitional Cell Carcinoma
Cystectomy
Urinary Bladder
Urinary Bladder Neoplasms
Carcinoma
Histology
Carcinosarcoma
Small Cell Carcinoma
Lymph Node Excision
Squamous Cell Carcinoma
Adenocarcinoma
Retrospective Studies
Survival
Mortality

Keywords

  • bladder neoplasms
  • carcinoma
  • cystectomy
  • neoplasm staging
  • squamous cell
  • transitional cell

ASJC Scopus subject areas

  • Urology

Cite this

Rogers, C. G., Palapattu, G. S., Shariat, S. F., Karakiewicz, P. I., Bastian, P. J., Lotan, Y., ... Schoenberg, M. P. (2006). Clinical Outcomes Following Radical Cystectomy for Primary Nontransitional Cell Carcinoma of the Bladder Compared to Transitional Cell Carcinoma of the Bladder. Journal of Urology, 175(6), 2048-2053. https://doi.org/10.1016/S0022-5347(06)00317-X

Clinical Outcomes Following Radical Cystectomy for Primary Nontransitional Cell Carcinoma of the Bladder Compared to Transitional Cell Carcinoma of the Bladder. / Rogers, Craig G.; Palapattu, Ganesh S.; Shariat, Shahrokh F.; Karakiewicz, Pierre I.; Bastian, Patrick J.; Lotan, Yair; Gupta, Amit; Vazina, Amnon; Gilad, Amiel; Sagalowsky, Arthur I.; Lerner, Seth P.; Schoenberg, Mark P.

In: Journal of Urology, Vol. 175, No. 6, 06.2006, p. 2048-2053.

Research output: Contribution to journalArticle

Rogers, CG, Palapattu, GS, Shariat, SF, Karakiewicz, PI, Bastian, PJ, Lotan, Y, Gupta, A, Vazina, A, Gilad, A, Sagalowsky, AI, Lerner, SP & Schoenberg, MP 2006, 'Clinical Outcomes Following Radical Cystectomy for Primary Nontransitional Cell Carcinoma of the Bladder Compared to Transitional Cell Carcinoma of the Bladder', Journal of Urology, vol. 175, no. 6, pp. 2048-2053. https://doi.org/10.1016/S0022-5347(06)00317-X
Rogers, Craig G. ; Palapattu, Ganesh S. ; Shariat, Shahrokh F. ; Karakiewicz, Pierre I. ; Bastian, Patrick J. ; Lotan, Yair ; Gupta, Amit ; Vazina, Amnon ; Gilad, Amiel ; Sagalowsky, Arthur I. ; Lerner, Seth P. ; Schoenberg, Mark P. / Clinical Outcomes Following Radical Cystectomy for Primary Nontransitional Cell Carcinoma of the Bladder Compared to Transitional Cell Carcinoma of the Bladder. In: Journal of Urology. 2006 ; Vol. 175, No. 6. pp. 2048-2053.
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abstract = "Purpose: The effect of bladder cancer histological subtypes other than transitional cell carcinoma (nonTCC) on clinical outcomes remains uncertain. We conducted a multi-institutional retrospective study of patients with bladder cancer treated with radical cystectomy to assess the impact of nonTCC histology on bladder cancer specific outcomes. Materials and Methods: A total of 955 consecutive patients underwent radical cystectomy with bilateral pelvic lymphadenectomy for bladder cancer at 3 academic institutions. TCC was present in the radical cystectomy specimen in 888 patients (93{\%}). NonTCC histology was present in 67 patients (7{\%}), including squamous cell carcinoma in 26, adenocarcinoma in 13, small cell carcinoma in 10 and other nonTCC subtypes (ie spindle cell carcinoma, carcinosarcoma and undifferentiated carcinoma) in 18. For patients alive at last followup median followup was 39 and 23 months for patients with TCC and nonTCC histologies, respectively. Bladder cancer specific progression and survival were assessed using Kaplan-Meier and multivariate Cox proportional hazards analyses. Results: Bladder cancer specific progression and mortality did not differ significantly between patients with SCC and TCC histologies. Patients with nonTCC and nonSCC bladder cancer were at significantly increased risk for progression and death compared to patients with TCC or SCC (p",
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