A case of effective neoadjuvant chemotherapy (MVEC) against right ureteral cancer involving bladder (cT4N1M0)

Poorly differentiated ureteral cancer has a poor prognosis, and tumor recurrence is frequent even after nephroureterectomy. We performed neoadjuvant chemotherapy to prevent postoperative recurrence. A 74-year-old man was diagnosed with ureteral cancer (3 cm) by magnetic resonance imaging (MRI). The...

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Veröffentlicht in:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 60(2014), 4 vom: 30. Apr., Seite 179-82
1. Verfasser: Okada, Takayuki (VerfasserIn)
Weitere Verfasser: Matsushita, Makoto, Kawamura, Norihiko, Ujike, Takeshi, Nin, Mikio, Tsujihata, Masao
Format: Aufsatz
Sprache:Japanese
Veröffentlicht: 2014
Zugriff auf das übergeordnete Werk:Hinyokika kiyo. Acta urologica Japonica
Schlagworte:Case Reports English Abstract Journal Article Antibiotics, Antineoplastic Antimetabolites, Antineoplastic Antineoplastic Agents Antineoplastic Agents, Phytogenic Epirubicin 3Z8479ZZ5X Vinblastine mehr... 5V9KLZ54CY Cisplatin Q20Q21Q62J Methotrexate YL5FZ2Y5U1
Beschreibung
Zusammenfassung:Poorly differentiated ureteral cancer has a poor prognosis, and tumor recurrence is frequent even after nephroureterectomy. We performed neoadjuvant chemotherapy to prevent postoperative recurrence. A 74-year-old man was diagnosed with ureteral cancer (3 cm) by magnetic resonance imaging (MRI). The clinical stage was T4N1M0. Histological examination by transurethral biopsy revealed an urothelial carcinoma, G3, pT1. After a month, the tumor size increased from 3.0 cm to 4.0 cm. With two cycles of neoadjuvant chemotherapy consisting of methotrexate, vinblastine, epirubicin and cisplatin (MVEC) partial remission (regression rate : 87%) was achieved, Following MVEC, right retroperitoneoscopy-assisted nephroureterectomy, total cystectomy, and ileal conduit were performed. Pathological stage was pT0. After two years, postoperative recurrence has not appeared
Beschreibung:Date Completed 12.08.2014
Date Revised 02.06.2014
published: Print
Citation Status MEDLINE
ISSN:0018-1994