Original Article: Clinical Investigation
Transurethral resection in one piece (TURBO) is an accurate tool for pathological staging of bladder tumor
Article first published online: 9 JUN 2010
© 2010 The Japanese Urological Association
International Journal of Urology
Volume 17, Issue 8, pages 708–714, August 2010
How to Cite
Ukai, R., Hashimoto, K., Iwasa, T. and Nakayama, H. (2010), Transurethral resection in one piece (TURBO) is an accurate tool for pathological staging of bladder tumor. International Journal of Urology, 17: 708–714. doi: 10.1111/j.1442-2042.2010.02571.x
- Issue published online: 22 JUL 2010
- Article first published online: 9 JUN 2010
- Received 24 September 2009; accepted 27 April 2010.; Online publication 9 June 2010
- cystoscopic surgical procedures;
- urinary bladder;
- urinary bladder neoplasms
Objectives: To demonstrate the usefulness of transurethral resection in one piece (TURBO) as an accurate pathological staging tool for bladder tumor.
Methods: Ninety-seven patients with newly diagnosed bladder cancer underwent TURBO that was performed either in an en bloc or in a divisional manner. The histological quality of the resection specimens was evaluated and the pathological stage was assigned on the basis of the depth of invasion, which was histologically determined.
Results: Specimens obtained by TURBO were well oriented and their 3-D architecture was maintained. This allowed a histological assessment of the entire specimen. Portions of muscularis propria were identified beneath the tumor base in the specimens of 80 (82%) patients. In only seven (7%) patients, the tumors had a deep resection margin positive for carcinoma and were ambiguously staged as “pT1 or higher” or “pT2 or higher”. Thus, definite pathological staging of TURBO specimens was possible in 90 (93%) patients (pTa, 30; pT1, 58; pT2, 2).
Conclusions: An accurate pathological stage can be assigned to the TURBO specimen in most bladder cancer patients.