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December 1929


Arch Surg. 1929;19(6):1090-1118. doi:10.1001/archsurg.1929.01150060152008


Tumor.  —Bumpus,35 in a study of records of cases of tumor of the bladder observed in the Mayo Clinic, attempted to estimate the benefit which may be expected from the various forms of treatment.If the base of the tumor cannot be seen, it is not safe to judge the operability of the growth from its size, since growths that occupy the entire cavity of the bladder frequently have pedicles not more than 1 or 2 cm. in diameter. It is the custom in the clinic to explore suprapubically in all cases of tumor of the bladder in which the general condition of the patient allows surgical treatment. Of 465 suprapubic explorations of tumors of the bladder, it was possible to institute some form of treatment in all but sixty-six. Even without treatment, suprapubic drainage afforded much relief by diminishing spasm and reducing secondary infection to a minimum.