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|a jpn
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1 |
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|a Ohuchi, H
|e verfasserin
|4 aut
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1 |
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|a Study of neoadjuvant chemotherapy for invasive bladder cancer with MEC (methotrexate, epirubicin, cisplatin) therapy
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|c 2001
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|a Text
|b txt
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|a ohne Hilfsmittel zu benutzen
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|a Date Completed 12.07.2001
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|a Date Revised 21.11.2013
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|a published: Print
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|a Citation Status MEDLINE
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|a Eighteen patients with locally invasive bladder cancer were treated with 1 or 2 cycles of neoadjuvant chemotherapy consisting of methotrexate, epirubicin and cisplatin (MEC). All patients underwent radical cystectomy and pelvic lymph node dissection. Down-staging was observed in twelve (complete pathological response in 3 and partial pathological response in 9) patients (response rate were 67%). Four of the 18 patients died of disease and all of them had not achieved down-staging. Multivariate analysis revealed nodal status to be the only independent predictor. With regard to side effects, gastrointestinal symptoms and myelo-suppression were observed in almost all patients. Thrombocytopenia was observed in 13 patients (72%) including 7 patients who showed symptoms over grade 3. Gastro-intestinal symptoms and leukocytopenia disappeared with granisetron and granulocyte colony stimulating factor. There were no treatment-related deaths in this study. These results indicate that MEC therapy was safely performed and showed a high response rate in patients with locally invasive bladder cancer
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|a English Abstract
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|a Journal Article
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|a Epirubicin
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|a Cisplatin
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|a Methotrexate
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|a Noguchi, S
|e verfasserin
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|a Takase, K
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|a Kawakami, S
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|a Ikeda, I
|e verfasserin
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|a Saito, K
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|a Yao, M
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|4 aut
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|a Masuda, M
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|a Kubota, Y
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|a Hosaka, M
|e verfasserin
|4 aut
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773 |
0 |
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|i Enthalten in
|t Hinyokika kiyo. Acta urologica Japonica
|d 1962
|g 47(2001), 4 vom: 24. Apr., Seite 241-6
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|x 0018-1994
|7 nnns
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|g volume:47
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