1. P34: Nonbilharzial squamous cell carcinoma of the bladder.
- Author
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Safini, F., Elbachiri, M., Jouhadi, H., Bouchbika, Z., Taleb, A., Benchakroun, N., Tawfiq, N., Sahraoui, S., and Benider, A.
- Subjects
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BLADDER cancer , *SQUAMOUS cell carcinoma , *EPIDEMIOLOGY - Abstract
Introduction: Second to urothelial carcinoma, squamous cell carcinoma (SCC) is the most prevalent epithelial neoplasm of the bladder, accounting for an approximate 3-5% of bladder tumors in Western countries. We systematically reviewed our experience with squamous cell carcinoma of bladder within a period of 5 years in order to study epidemiological characteristics, treatment modalities and patient outcome. Materials and Methods: We performed a retrospective study of seven patients with SCC of the bladder treated at our Radiotherapy and Oncology Department from 2008 to 2012. Results: In our collective, a male predominance with a ratio of 2/1 was observed. The average age at diagnosis was 58 years. The average consultation time was 1-year. The reason for consultation was hematuria in all patients, associated in most cases with irritative signs as pollakiuries. All patients underwent cystoscopy with biopsy. All pure SCCs were muscle invasive carcinoma with a staging of at least T3. Radical cystectomy was treatment of choice in tree cases. Adjuvant treatment was conducted in the tree patients administering either postoperative local irradiation or chemotherapy (methotrexate/cisplatin, gemcitabine/ cisplatine). Two patients inoperable had received a combined radio-chemotherapy exclusive with three cycles of Cisplatin and pelvic irradiation of 60 Gy. The other two patients were very thirsty and had received palliative care. The median overall survival for patients with pure SCC was 7 months. Conclusion: Our data underline the individuality and poor prognosis of squamous cell cancerous lesions of the urinary tract. The histogenesis of pure SCC of the bladder is not conclusively defined. Further studies are needed in fundamental, histopathological and molecular research while clinicians should undertake combined efforts in order to optimize the treatment of patients with rare urological tumor entities. [ABSTRACT FROM AUTHOR]
- Published
- 2015