Invasive bladder cancer recurrenced 5 years after complete response status by chemotherapy and radiotherapy : a case report

A 72-year-old man had undergone trasucethral resection of bladder tumor (TUR-Bt) three times from 1990 to 1991 and he had been lost to follow with no recurrence from 1996, came to our hospital complaining of asymptomatic macrohematuria in May 1999. A bladder tumor existed around the right ureteral o...

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Veröffentlicht in:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 51(2005), 11 vom: 31. Nov., Seite 755-7
1. Verfasser: Ito, Sinichirou (VerfasserIn)
Weitere Verfasser: Yokomizo, Satoshi, Imazu, Tetsuo, Sugao, Hideki
Format: Aufsatz
Sprache:Japanese
Veröffentlicht: 2005
Zugriff auf das übergeordnete Werk:Hinyokika kiyo. Acta urologica Japonica
Schlagworte:Case Reports English Abstract Journal Article Epirubicin 3Z8479ZZ5X Cisplatin Q20Q21Q62J
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520 |a A 72-year-old man had undergone trasucethral resection of bladder tumor (TUR-Bt) three times from 1990 to 1991 and he had been lost to follow with no recurrence from 1996, came to our hospital complaining of asymptomatic macrohematuria in May 1999. A bladder tumor existed around the right ureteral orifice with right hydronephrosis. MRI and TUR-Bt revealed that the cancer was transitional cell carcinoma (TCC) > small cell carcinoma, G3, pT3b. Because the patient insisted on bladder preservation, intra arterial chemotherapy with cisplatinum (CDDP) and epirubicin (EPI-adr) followed by radiotherapy with CDDP was performed. The treatment resulted in a clinical complete response (CR), and the bladder was preserved. In January 2004, an invasive bladder cancer recurred at the left lateral wall. This time, neoadjuvant intra-arterial chemotherapy with CDDP and EPI-adr, followed by radical cystectomy was performed. Histologically, the recurrent bladder cancer was TCC, G3, pT3b 
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