Neoadjuvant chemotherapy (M-VAC) for locally invasive bladder cancer

Eight patients with locally invasive bladder cancer (stages T2-T4, N0, M0; 7 men and 1 woman; mean age, 72.0 years; age range, 56 to 80 years) were treated with 2 cycles of neoadjuvant chemotherapy consisting of methotrexate, vinblastine, adriamycin and cisplatin (M-VAC). Seven of them underwent rad...

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Veröffentlicht in:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 38(1992), 4 vom: 27. Apr., Seite 405-11
1. Verfasser: Kamoto, T (VerfasserIn)
Weitere Verfasser: Kawakita, M, Okabe, T, Matsumoto, M, Matsuda, T, Yoshida, O
Format: Aufsatz
Sprache:Japanese
Veröffentlicht: 1992
Zugriff auf das übergeordnete Werk:Hinyokika kiyo. Acta urologica Japonica
Schlagworte:English Abstract Journal Article Vinblastine 5V9KLZ54CY Doxorubicin 80168379AG Cisplatin Q20Q21Q62J Methotrexate YL5FZ2Y5U1
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245 1 0 |a Neoadjuvant chemotherapy (M-VAC) for locally invasive bladder cancer 
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520 |a Eight patients with locally invasive bladder cancer (stages T2-T4, N0, M0; 7 men and 1 woman; mean age, 72.0 years; age range, 56 to 80 years) were treated with 2 cycles of neoadjuvant chemotherapy consisting of methotrexate, vinblastine, adriamycin and cisplatin (M-VAC). Seven of them underwent radical cystectomy after chemotherapy, while the bladder was preserved in one patient. Seven patients were free of disease during a mean follow-up period of 26.2 months (range 20-30 months). However, one patient whose pathological stage was pT2, N1 died with disease 27 months after radical cystectomy. The patient whose bladder had been preserved showed no recurrence after a follow-up period of 27 months. Pathological examination of the resected specimen after chemotherapy revealed no tumor tissue in three patients; one with negative cytology and two with positive cytology. Downstages were observed in two patients. Results showed that the toxicity of neoadjuvant M-VAC therapy is acceptable and that M-VAC therapy is effective against locally invasive transitional cell carcinoma of the bladder. The problem remains of how to assess the clinical stage more accurately before chemotherapy and radical cystectomy 
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700 1 |a Matsuda, T  |e verfasserin  |4 aut 
700 1 |a Yoshida, O  |e verfasserin  |4 aut 
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