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Hugh J. Jewett, MD

JAMA. 1968;206(12):2720-2721.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The aim of treatment of a patient with cancer of the bladder is to remove all of the cancer cells, and, if possible, to preserve the bladder if it can be made healthy and reasonably comfortable. But one's preoccupation with saving the bladder should not be permitted to jeopardize the patient's chance for cure. It therefore is obvious that one must be able to make an accurate distinction between a tumor that can be removed completely from the bladder and one that requires removal of the entire organ.

Over the last 20 years, urologists have repeatedly demonstrated that chances for five-year survivorships after cystectomy are nearly always considerably better when pathological sections through the vesical wall show that invasion has not reached the halfway point in the underlying muscularis. These are the superficial cancers, and many, if not most, are best treated conservatively. The difficult problem, however, is to determine . . . [Full Text PDF of this Article]

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