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September 9, 1983

Bladder Neoplasms

Author Affiliations

From the Roswell Park Memorial Institute, Buffalo.

JAMA. 1983;250(10):1326. doi:10.1001/jama.1983.03340100060034

Edwin Beer made many contributions to the study of bladder cancer. We are indebted to him for the summary of his work at the Mount Sinai Hospital published in 1935.1

Looking back in that volume on his contributions to the control of bladder cancer, Beer felt that the first advance in operative therapy had been introduced by Billroth in 1874. At the time, urologic surgeons relied on either blind transurethral manipulation or lateral perineal incisions for the removal or excision of bladder tumors. Billroth often employed a suprapubic incision and first removed a bladder tumor under direct visual control. Despite the proven validity in this approach, by 1885 only nine bladder tumors had been removed in this way, according to a review by Antal that was cited by Beer in 1935.1

Beer believed that the operative approach to removal of bladder cancer was developing according to two schools