BLADDER-TUMORS IN WOMEN - EPIDEMIOLOGIC A SPECTS AND TREATMENTS, BASED ON A SERIES OF 48 CASES

Bladder tumours in women. Epidemiological aspects and treatments, base d on a series of 48 cases. Bladder tumours are more frequent in men th an in women, in whom they present certain epidemiological, clinical an d therapeutic characteristics. The authors report a retrospective stud y of 48 cases of bladder tumour in women, observed in the urology depa rtment over a 20-year period. These tumours represented 4.2% of all bl adder tumours. The patients had a mean age of 59 years (range: 29 to 7 7). Only one patient was a smoker (2%). Haematuria was present in 93% of cases, and signs of bladder irritation were present in 60% of cases . All tumours were transitional cell carcinomas. The tumour was classi fied as stage 0 in 10 cases (20.9%), stage A in 15 patients (31.2%), s tage B in 22 patients (45.8%) and stage C in 1 case (2.1%); no patient s (0%) were classified as stage D. Our therapeutic protocol was establ ished as a function of the stage of tumour invasion. For example, supe rficial tumours were treated conservatively by transurethral resection , either alone or combined with intravesical instillation. Radical sur gery was performed whenever possible for invasive tumours.