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Volume 6
Journal of Infectious Diseases and Therapy
ISSN: 2332-0877
Infection Congress 2018
March 01-02, 2018
March 01-02, 2018 Berlin, Germany
5
th
International Congress on
INFECTIOUS DISEASES
J Infect Dis Ther 2018, Volume 6
DOI: 10.4172/2332-0877-C1-039
Bilharzial urinary bladder carcinoma in Egyptian population: Epidemiological trending changing
traditional management
Gamal M Saied
Cairo University, Egypt
Background:
The objective of this study is to validate the new clinicopathological features of bilharzial and non-bilharzial
urinary bladder carcinoma in Egyptian population. These features are caused by altered epidemiology, and proposed to have
reflection on management.
Patients & Methods:
Timely contributions of leading Egyptian experts in domicile post-Bilharzial bladder cancer (last 4
decades) were reviewed. Additionally, 102 patients were studied in two subsets A&B based on a preplanned treatment
modality: cystectomy facing transurethral resection plus radiotherapy. Observation on gross and microscopic features and
their reflection on treatment decision are recorded.
Results:
An overview of the aforementioned studies is given, demonstrating a striking change in the characteristic features
of bladder carcinoma in Egypt, more obvious in 2007 and after. In the present work, 65% of patients had their tumors in a
bilharzial bladder where walls demonstrated the classical cystoscopy features of the disease, while 35% had their tumors in a
non bilharzial one. Group A patients were treated by cystectomy carrying 7.7% perioperative mortality, whereas patients in
group B received sensitized radiotherapy preceded by transurethral resection.
Conclusion:
Bladder cancer in Egyptian patients has lost its peculiar features imposed by chronic bilharzial cystitis, shifting
towards traditional types suitable for organ preserving management
.
gamal44@hotmail.com