Intended for healthcare professionals


Review on bladder cancer

BMJ 1999; 318 doi: (Published 27 March 1999) Cite this as: BMJ 1999;318:875

New rather than old TNM staging system should have been used

  1. Jeremy Millar (, Senior lecturer
  1. William Buckland Radiotherapy Centre, The Alfred, PO Box 315, Prahran, Victoria, Australia 3143
  2. Department of Urology, Bosch Medicentrum, PO Box 90153, 5200 ME 's-Hertogenbosch, Netherlands

    EDITOR—The review on bladder cancer includes an incorrect diagram of the TNM staging system and neglects any reference to the hope of improved outcomes with concurrent radiation and chemotherapy.1 The diagram shows the previous TNM (fourth edition) T categories2 rather than the new (fifth edition) system.3 The new system categorises all muscle invasion without perivesical invasion as T2. T2a is invasion of the “inner half” and T2b …

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