Laser treatment of transitional cell cancer of the bladder and upper urinary tract

  • Eduardo Orihuela
  • Arthur D. Smith
Chapter
Part of the Cancer Treatment and Research book series (CTAR, volume 46)

Abstract

The therapeutic potential of lasers in the treatment of urologic malignancies has been explored in recent years by a number of investigators. Much enthusiasm has accompanied the use of this new technology, and the results have often been reported in glowing terms, leading to enormous expansion of laser usage. This chapter will review the basic principles of laser technology and its use in the treatment of transitional cell cancer of the bladder and the upper urinary tract, as well as review its possible advantages and disadvantages in relation to conventional methods of treatment.

Keywords

Bladder Cancer Laser Therapy Transitional Cell Carcinoma Invasive Bladder Cancer Nephrostomy Tube 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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References

  1. 1.
    Hofstetter A, Frank F, Keiditsch E: Laser treatment of the bladder: Experimental and clinical results. In: Lasers in Urologic Surgery, Smith JA (ed). Year Book Medical Publishers, Chicago, 1985, pp. 63–81.Google Scholar
  2. 2.
    Smith JA Jr, Middleton RG: Bladder cancer. In: Lasers in Urologic Surgery, Smith, JA (ed). Year Book Medical Publishers, Chicago, 1985, pp. 52–62.Google Scholar
  3. 3.
    Hofstetter A: Treatment of urologic tumors by neodymium-YAG laser. Eur Urol 12: 21–24, 1986.PubMedGoogle Scholar
  4. 4.
    Orihuela E, Herr HW, Whitmore WF Jr:Conservative treatment of superficial transitional cell carcinoma of the prostatic urethra with intravesical BCG. Urology, in press.Google Scholar
  5. 5.
    Smith JA Jr: Application of laser energy in urologic surgery. In: New Techniques in Urology deVere White RW, Palmer JM (eds). Futura Publishing, Mount Kisco, NY, 1987, pp. 161–184.Google Scholar
  6. 6.
    Beisland HO, Seland P: A prospective randomized study on neodymium-YAG laser irradiation versus TUR in the treatment of urinary bladder cancer. Scand J Urol Nephrol 20: 209–212, 1986.PubMedCrossRefGoogle Scholar
  7. 7.
    Malloy TR, Wein AJ, Shanberg A: Superficial transitional cell carcinoma of the bladder treated with neodymium:YAG laser: A study of recurrence rate within the first year. [Abstract] J Urol 131: 251A, 1984.Google Scholar
  8. 8.
    Smith JA Jr: Endoscopic applications of laser energy. Urol Clin North Am 13: 405–419, 1986.PubMedGoogle Scholar
  9. 9.
    Soloway MS, Masters S: Urothelial susceptibility to tumor cell implantation: Influence of cauterization. Cancer 46: 1158–1163, 1980.PubMedCrossRefGoogle Scholar
  10. 10.
    Smith JA Jr: Treatment of invasive bladder cancer with a neodymium:YAG laser. J Urol 135: 55–57, 1986.PubMedGoogle Scholar
  11. 11.
    Lantz EJ, Hattery RR: Diagnostic imaging of urothelial cancer. Urol Clin North Am 11: 567–583, 1984.PubMedGoogle Scholar
  12. 12.
    Tarantino AE, Bihrle W, Libertino JA: The neodymium YAG laser in the treatment of invasive bladder cancer. [Abstract] J Urol 137: 155A, 1987.Google Scholar
  13. 13.
    Shanberg AM, Baghdassarian R, Tansey LA: Use of Nd:YAG laser in treatment of bladder cancer. Urology 29: 26–30, 1987.PubMedCrossRefGoogle Scholar
  14. 14.
    Cummings KB: Nephroureterectomy; Rationale in the management of transitional cell carcinoma of the upper urinary tract. Urol Clin North Am 7: 569–578, 1980.PubMedGoogle Scholar
  15. 15.
    McCarron JP, Mills C, Vaughn ED Jr: Tumors of the renal pelvis and ureter: Current concepts and management. Semin Urol 1: 75–81, 1983.PubMedGoogle Scholar
  16. 16.
    Zincke H, Neves RJ: Feasibility of conservative surgery for transitional cell cancer of the upper urinary tract. Urol Clin North Am 11: 717–724, 1984.PubMedGoogle Scholar
  17. 17.
    Gittes RF: Management of transitional cell carcinoma of the upper tract: Case for conservative local excision. Urol Clin North Am 7: 559–568, 1980.PubMedGoogle Scholar
  18. 18.
    Orihuela E, Smith AD: Percutaneous treatment of transitional cell carcinoma of the upper tract. Urol Clin North Am 15: 425–431, 1988.PubMedGoogle Scholar
  19. 19.
    Smith AD, Orihuela E, Crowley AR: Percutaneous management of renal pelvic tumors: A treatment option in selected cases. J Urol 137: 852–856, 1987.PubMedGoogle Scholar
  20. 20.
    Streem SB, Pontes EJ: Percutaneous management of upper tract transitional cell carcinoma. J Urol 135: 773–775, 1986.PubMedGoogle Scholar
  21. 21.
    Woodhouse CRJ, Kellett MJ, Bloom HJG: Percutaneous renal surgery and local radiotherapy in the management of renal pelvic transitional cell carcinoma. Br J Urol 58: 245–249, 1986.PubMedCrossRefGoogle Scholar
  22. 22.
    Woodhouse CRJ, Kellett MJ, Bloom HJG: Renal pelvic tumors: Percutaneous investigation and treatment. [Abstract] J Urol 137: 222A, 1987.Google Scholar
  23. 23.
    Huffman JL, Bagley DH, Lyon ES Morse MJ, Herr HW, Whitmore WF Jr: Endoscopic diagnosis and treatment of upper tract urothelial tumors: A preliminary report. Cancer 55: 1422–1428, 1985.PubMedCrossRefGoogle Scholar
  24. 24.
    Herr HW, Whitmore WF Jr: Ureteral carcinoma in situ after successful intravesical therapy for superficial bladder tumor: Incidence, possible pathogenesis and management. J Urol 138: 292–294, 1987.PubMedGoogle Scholar
  25. 25.
    Saltzman B, Smith AD: Experimental and clinical applications of the Nd:YAG laser in the rabbit, pig and human renal pelvis. [Abstract] J Urol 137: 254A, 1987.Google Scholar
  26. 26.
    Smith JA, Lee RG, Dixon JA: Tissue effects of neodymium: YAG laser photoradiation of canine ureters. J Surg Oncol 27: 168–171, 1984.PubMedCrossRefGoogle Scholar
  27. 27.
    Klotz LH, Reuter V, Morse MJ: Nd:YAG laser in upper urinary tract urothelium: Use of the dog model for dosimetry analysis. [Abstract] J. Urol 133: 131A, 1985.Google Scholar
  28. 28.
    Blute ML, Segura JW, Patterson DE, Benson RC: Impact of endourology in upper tract urothelial cancer. [Abstract] J Urol 139: 167A, 1988.Google Scholar
  29. 29.
    Schilling A, Bowering R, Keiditsch E: Use of neodymium-YAG laser in the treatment of ureteral tumors and urethral condylomata acuminata: Clinical experience. Eur Urol 12: 30–33, 1986.PubMedGoogle Scholar
  30. 30.
    Malloy TR: Laser treatment of ureter and upper collecting system. In: Lasers in Urologic Surgery, Smith JA Jr (ed). Year Book Medical Publishers, Chicago, 1985, pp. 87–93.Google Scholar
  31. 31.
    Orihuela E, Smith AD: Intrarenal administration of bacillus Calmette-Guerin (BCG) after percutaneous resection of renal pelvic tumors [Abstract] J Urol 139: 431A, 1988.Google Scholar
  32. 32.
    Koss LG: Tumors of the urinary bladder. In: Atlas of Tumor Pathology, 2nd series, Fasc. 11. Armed Forces Institute of Pathology, Washington, D.C., 1975.Google Scholar
  33. 33.
    Raab O: Ueber die Wirkung fluorescirender stoffe and infusorien. Z Biol 39: 524–546, 1900.Google Scholar
  34. 34.
    Benson RC Jr: Hematoporphyrin photosensitization and the argon-dye laser. In: Lasers in Urologic Surgery, Smith JA Jr (ed). Year Book Medical Publishers, Chicago, 1985, pp. 103–119.Google Scholar
  35. 35.
    Hisazumi H, Misaki T, Miyoshi N: Photoradiation therapy of bladder tumors. Prog Clin Biol Res 170: 385–396, 1984.Google Scholar
  36. 36.
    Rosenberg SJ, Williams RD: Photodynamic therapy of bladder carcinoma. Urol Clin North Am 13: 435–44, 1986.PubMedGoogle Scholar
  37. 37.
    Tshuchiya A, Obara N, Miwa M, et al.: Hematoporphyrin derivative and laser photoradiation in the diagnosis and treatment of bladder cancer. J Urol 130: 79–82, 1983.Google Scholar
  38. 38.
    Hisazumi H, Misaki T, Miyoshi N: Photoradiation therapy of bladder tumors. J Urol 130: 685–687, 1983.PubMedGoogle Scholar
  39. 39.
    Benson RC Jr: Endoscopic management of bladder cancer with hematoporphyrin derivative phototherapy. Urol Clin North Am 11: 637–642, 1984.PubMedGoogle Scholar
  40. 40.
    Benson, RC Jr: Integral photoradiation therapy of multifocal bladder tumors. Eur Urol 12: 47–53, 1986.PubMedGoogle Scholar
  41. 41.
    Kurth KH: Palliative treatment. In: Bladder Cancer, Zingg EJ, Wallace DMA (eds). Springer-Verlag Berlin, 1985, pp. 263–297.Google Scholar
  42. 42.
    Orihuela E, Varadachay S, Herr HW, Melamed MR, Whitmore WF Jr: The practical use of tumor marker determination in bladder washing specimens: Assessing the urotherlium of patients with superifical bladder cancer. Cancer 60: 1009–1016, 1987.PubMedCrossRefGoogle Scholar

Copyright information

© Kluwer Academic Publishers, Boston 1989

Authors and Affiliations

  • Eduardo Orihuela
  • Arthur D. Smith

There are no affiliations available

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