BACKGROUND: Significant advancements have occurred in surgical procedures and chemoradiation therapy for bladder preservation. METHODS: This review addresses primary treatment options for bladder cancer, including an overview of bladder-sparing strategies. RESULTS: Surgical series demonstrate that highly selected patients with cT2N0M0 urothelial bladder cancers can be managed with partial cystectomy and bilateral pelvic lymphadenectomy. For patients with cT2N0M0 to cT4aN0M0 urothelial bladder cancers, neoadjuvant chemotherapy followed by radical cystectomy or maximal transurethral resection of the bladder tumor (TURBT) followed by chemoradiation therapy results in equivalent survival rates. However, each treatment option has a different impact on quality of life. Current chemoradiation therapy trials are evaluating novel approaches to improve outcomes. CONCLUSIONS: Maximal TURBT followed by chemoradiation therapy demonstrated equivalent survival with radical cystectomy while preserving bladder function in the majority of patients. Future efforts will be directed toward improving survival and quality of life.
BACKGROUND: Significant advancements have occurred in surgical procedures and chemoradiation therapy for bladder preservation. METHODS: This review addresses primary treatment options for bladder cancer, including an overview of bladder-sparing strategies. RESULTS: Surgical series demonstrate that highly selected patients with cT2N0M0 urothelial bladder cancers can be managed with partial cystectomy and bilateral pelvic lymphadenectomy. For patients with cT2N0M0 to cT4aN0M0 urothelial bladder cancers, neoadjuvant chemotherapy followed by radical cystectomy or maximal transurethral resection of the bladder tumor (TURBT) followed by chemoradiation therapy results in equivalent survival rates. However, each treatment option has a different impact on quality of life. Current chemoradiation therapy trials are evaluating novel approaches to improve outcomes. CONCLUSIONS: Maximal TURBT followed by chemoradiation therapy demonstrated equivalent survival with radical cystectomy while preserving bladder function in the majority of patients. Future efforts will be directed toward improving survival and quality of life.
Authors: C Balaña; A Estival; I Teruel; M Hardy-Werbin; J Sepulveda; E Pineda; M Martinez-García; O Gallego; R Luque; M Gil-Gil; C Mesia; S Del Barco; A Herrero; A Berrocal; P Perez-Segura; R De Las Penas; J Marruecos; R Fuentes; G Reynes; J M Velarde; A Cardona; E Verger; C Panciroli; S Villà Journal: Clin Transl Oncol Date: 2018-05-08 Impact factor: 3.405
Authors: Ofer N Gofrit; Amos Shapiro; Ran Katz; Mordechai Duvdevani; Vladimir Yutkin; Ezekiel H Landau; Kevin C Zorn; Guy Hidas; Dov Pode Journal: Res Rep Urol Date: 2014-10-24
Authors: Wassim M Bazzi; Ryan P Kopp; Timothy F Donahue; Melanie Bernstein; Paul Russo; Bernard H Bochner; Sherri M Donat; Guido Dalbagni; Harry W Herr Journal: Int Sch Res Notices Date: 2014-11-13
Authors: Maria Angela Cerruto; Carolina D'Elia; Giovanni Cacciamani; Davide De Marchi; Salvatore Siracusano; Massimo Iafrate; Mauro Niero; Cristina Lonardi; Pierfrancesco Bassi; Emanuele Belgrano; Ciro Imbimbo; Marco Racioppi; Renato Talamini; Stefano Ciciliato; Laura Toffoli; Michele Rizzo; Francesco Visalli; Paolo Verze; Walter Artibani Journal: Health Qual Life Outcomes Date: 2014-04-07 Impact factor: 3.186