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June 7, 1947


Author Affiliations

Division of Surgery, Mayo Clinic Rochester, Minn.

JAMA. 1947;134(6):507-513. doi:10.1001/jama.1947.02880230017005

One reads and hears many different opinions in regard to the treatment of carcinoma of the bladder. This is due in part to the variety of characteristics which malignant lesions in the bladder may present; hence the numerous problems which are created from the point of view of treatment. More reports of well controlled series of cases in which treatment is by various available methods and the patients are followed for an adequate length of time would help to clarify present opinions. Because of the many therapeutic approaches available, ranging from external irradiation or cystoscopic procedures to more extensive suprapubic operations, one is always confronted with the decision as to how radical the initial form of treatment should be. In reaching this decision it would seem that the chance of ultimate survival should be given equal consideration with the immediate risk of treatment. It should also be kept in mind

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