Publications by authors named "Graham Coombes"

Objectives: To evaluate the depth of transurethral resections of bladder tumour (TURBT), residual cancer rates and up-staging rates in a contemporary Australian series.

Materials And Methods: Specimen reports from a single, major reporting pathology centre, servicing a group of urological oncologists in Sydney were obtained for TURBTs performed between October 2008 and February 2013. We examined the depth of TURBT, rates of repeat-TURBT (re-TUR) and residual cancer rates at the 3-6 month check cystoscopy.

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Background: Australian bladder cancer patients especially women are thought to have worse outcomes when compared to the other international series. The objective of this study was to assess the pathological pattern of primary bladder cancer at the time of radical cystectomy as well as assessing the quality of resection in New South Wales.

Method: Pathology reports of radical cystectomy performed for primary bladder cancer were reviewed for a period of 10 years in a single major pathology centre servicing the state of New South Wales.

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Article Synopsis
  • - The study aimed to evaluate the incidence and characteristics of incidental prostate cancer in Australian men with primary bladder cancer who underwent radical cystoprostatectomy (RCP).
  • - Over a 10-year review, it was found that 39% of patients had prostate cancer, with 70% of those cases being clinically significant; also, the presence of bladder carcinoma in situ (CIS) was linked to urethral disease.
  • - The findings highlighted a high rate of significant prostatic adenocarcinoma in patients with bladder cancer, indicating a need for more awareness in surgical considerations during treatment.
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Endometriosis is a common condition that affects as many as 10% to 20% of women of reproductive age. Because of the subtle clinical signs and symptoms and limitations of imaging methods, the diagnosis is frequently delayed or missed, with serious consequences including hypertension, hydronephrosis, and loss of kidney function. We present an unusual case of recurrent ureteric endometriosis in a postmenopausal woman to highlight the challenges of screening for and management of endometriosis.

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