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This publication is protected and can be accessed only from certain IPs.

Title: Bimanual palpation in assessing bladder cancer stage and bladder resectability during cystectomy : a prospective study

Author:

Czech, Anna

Date:

2025

Type:

Praca doktorska

Abstract:

A prospective study aimed to evaluate the concordance between clinical stage of bladder cancer assessed by bimanual examination under anesthesia (EUA) and pathological stage in cystectomy specimens, the diagnostic accuracy of EUA, and the value of EUA in assessing bladder resectability during cystectomy. The study included data from 134 patients who underwent cystectomy between 2017 and 2020 at a single academic center. Two examiners performed EUA before cystectomy, with one blinded to imaging results. Soft tissue surgical margin status in cystectomy specimens served as a measure of resectability. EUA allowed for accurate assessment of bladder cancer T stage in 80% of patients. The understaging rate in EUA was 15%, while the overstaging rate was 5%. The results of the examiner blinded to imaging were comparable to those of the examiner aware of imaging findings. Identification of limited bladder mobility in preoperative EUA provided prognostic information on surgical margins. Despite the availability of imaging studies, EUA should not be overlooked as it remains a valuable tool for preoperative assessment of bladder cancer stage and resectability during cystectomy.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree discipline:

urologia ; onkologia.

Degree grantor:

Rada Dyscypliny Nauki medyczne

Promoter:

Chłosta, Piotr

Date issued:

2024

Identifier:

oai:dl.cm-uj.krakow.pl:5260

Call number:

ZB-142499

Language:

pol; eng

Access rights:

tylko w bibliotece

Subject and keywords:

bladder cancer bimanual palpation cystectomy exam under anesthesia margins of excision muscle- invasive bladder cancer staging

Object collections:

Last modified:

Sep 15, 2025

In our library since:

May 26, 2025

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0

Number of object content views in PDF format

0

All available object's versions:

http://dl.bm.cm-uj.krakow.pl:8080/publication/5261

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Edition name Date
ZB-142499 Sep 15, 2025

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