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December 27, 1947


JAMA. 1947;135(17):1146-1152. doi:10.1001/jama.1947.62890170001007

Cancers of the urinary bladder and prostate are the commonest tumors encountered in urologic practice. In an unreasonably large number of cases the tumors are far advanced at the time that treatment is commenced because of needless procrastination on the part of the physician or the patient. Evidently the patient is apt to minimize the symptoms of hematuria and vesical discomfort, and the family physician often provides palliative treatment before instituting a diagnosis. This apathy is unfortunate, because distinct progress has been made in the last decade in the clinical therapy of these lesions and the urologist has much to offer in special diagnosis and treatment.

The vesical and prostatic tumors are quite different. Generally speaking the tumors of the bladder infiltrate and prostatic cancers metastasize, the reason for the difference not being apparent at present.

CANCER OF THE BLADDER  The present discussion is based largely on two groups. each

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