This paper is not presented as a solution to the question of the proper treatment of tumors of the bladder but only an expression of our experience in a series of cases treated by us. The over-all picture of bladder tumor has changed in the last twenty years as the age incidence has increased. This has possibly resulted in more grade 2 and grade 3 tumors being seen. It has also increased the incidence of deaths from degenerative diseases. The fact that so many types of treatment have been devised for the control of vesical neoplasms indicates the necessity for continued efforts to determine the best way of handling these tumors. Surgeons do not hesitate to perform radical extirpation of cancer in other parts of the body; therefore, is it not equally as practicable in this organ? We believe that it is too early to finally evaluate total cystectomy: as
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W. Calhoun Stirling (1949) studied this question.
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