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Alan Thompson - The Royal Marsden

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<strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong>Superficial Bladder Cancer• Up to 80% patients present with superficial disease• In such patients risk of distant disease is low• Natural history of bladder cancer based on 2 separate butrelated processesTumour recurrence - 50 to 70% overall (Grossman H,Oncology: 1996). This high recurrence rate in distantfields, so called polychronotropism suggests ‘field defect’in the entire lining epitheliumTumour progression to a higher stage (10 - 15%)

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