Systemic chemotherapy in the management of bladder cancer

Author(s):  
David M. Nanus ◽  
George J. Bosl
2012 ◽  
Vol 42 (10) ◽  
pp. 955-960 ◽  
Author(s):  
E. C. Hwang ◽  
I. S. Hwang ◽  
H. S. Yu ◽  
S.-O. Kim ◽  
S. I. Jung ◽  
...  

Author(s):  
Eila C. Skinner

Treatment of muscle-invasive bladder cancer in older patients is challenging. Definitive therapy of localized disease requires either surgery or radiation therapy, ideally combined with systemic chemotherapy. However, current population data suggest that less than half of patients older than age 70 are offered such treatments. We will review tools available to assess the fitness of older patients for surgery, alternatives, and tips for perioperative patient treatment.


2005 ◽  
Vol 23 (16_suppl) ◽  
pp. 4701-4701 ◽  
Author(s):  
J. M. McKiernan ◽  
G. J. Decastro ◽  
S. Gilbert ◽  
V. Grann ◽  
C. A. Olsson ◽  
...  

1992 ◽  
Vol 30 (S1) ◽  
pp. S85-S89 ◽  
Author(s):  
Toshihiko Kotake ◽  
Hideyuki Akaza ◽  
Shigoe Isaka ◽  
Susumu Kagawa ◽  
Kenkichi Koiso ◽  
...  

2017 ◽  
Vol 13 (02) ◽  
pp. 134 ◽  
Author(s):  
Ioannis Dimitriadis ◽  
Aristotelis Bamias ◽  
◽  

Urothelial cancer (UC) has long been recognised as a chemosensitive disease, and systemic chemotherapy plays a crucial role in the management of localised and advanced disease. Unfortunately, there has been a paucity of progress during the last 15 years in this area. Neoadjuvant use of cisplatin-based combinations has shown survival benefit and together with radical cystectomy should constitute the cornerstone of early disease management. Most importantly, Galsky criteria concerning fitness for cisplatin provide a useful tool for clinicians, in order to select patients with substantial benefit from cisplatin-based chemotherapy. Adjuvant chemotherapy may be useful in selected cases, but its wide implementation has to be proved. Recently, the advent of modern immunotherapy seems to offer new effective choices for patients with advanced UC.


1996 ◽  
Vol 3 (6) ◽  
pp. 501-506 ◽  
Author(s):  
Milind Javle ◽  
Derek Raghavan

Background Bladder cancer is one of the most common malignancies in Western society. In the United States, approximately 10,000 of these patients present with invasive disease, and more progress from superficial bladder cancer. Methods The authors review the literature on systemic treatment for both localized and metastatic bladder cancer, and they include their experience in defining approaches to various stages of disease. Results Cisplatin-based combination chemotherapy is the most effective systemic approach for advanced bladder cancers, although few patients are cured. Neoadjuvant, perspective, and adjuvant trials, as well as concurrent chemoradiation studies, are in progress to attempt to demonstrate better outcomes. Conclusions The combination of systemic chemotherapy and definitive local therapy may have a useful role in the management of locally advanced bladder cancers, but optimal schedules and true survival benefit have not been established.


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