Gamal M SAIED
Cairo University, Egypt
Title: Bilharzial urinary bladder carcinoma in Egyptian population: Epidemiological trend changing traditional management
Biography:
Gamal M. SAIED (MD) : Professor of Surgery, Faculty of Medicine, Cairo University. Ex-Head of Surgical Oncology Unit & Ex–Director of the Emergency and Causalities Hospital and Member of the Board of Administration, Cairo University Hospitals.Chairman of the Professors Upgrading Committee (General Surgery, 2016- ….). Member of : NESA, EACR, ASCO. Member of the Scientific Council for the Egyptian Fellowship in General Surgery, Ministry of Public Health & Population. Laureate the Egypt State's Award for Medical Sciences . Decorated the Order of Merit (First Class) from the President of the Arab Republic of Egypt
Abstract:
Background
The objective 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 bladder cancer ( last 4 decades) were reviewed. Additionally, 102 patients were studied in 2 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 cystoscopic 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.
Discussion
Bladder cancer in Egyptian patients has lost its peculiar features imposed by chronic bilharzial cystitis. With the progressive histological change from squamous cell carcinoma to transitional cell variety treatment had to be shifted towards traditional types suitable for organ preserving management