Tuesday, December 21, 2010

Urinary bladder carcinoma

Painless hematuria is hallmark for clinical presentation.
Male to female ratio 3:1
Smoking is important risk factor.
Worker of dye factory,leather factory,patroliem product,solvant risk for urinary bladder carcinoma.
Transitional cell carcinoma is most common tumor.
TURBT is treatment fo choice early stage tumor(T-1)
Post TURBT BCG irrigation is adjuvent therpy of choice.
Radical cystoprostatectomy in male and radical cystectomy with hystrectomy and b/l salpingoophrectomy with excision of ant wall of vagina is option of choice for T2 and above tumor.

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Surgery that going on in Delhi divisional Hospital-
THYROIDECTOMY
MODIFIED RADICAL MASTECTOMY
LAP CHOLE
LAP HERNIA
LAP APPENDICECTOMY
OPEN AND LAP RECTOPEXY