The Role of Chemotherapy and Radiotherapy in the Surgical Management of Muscle Invasive Bladder Cancer

The management of muscle invasive bladder cancer represents an unresolved clinical challenge. Invasive urothelial carcinomas are associated with high mortality rates and early metastatic disease. Radical cystectomy is a recognized standard of care, although disease-free survival outcomes remain subo...

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Main Author: Joshua Luck
Format: Article
Language:English
Published: University Library System, University of Pittsburgh 2014-10-01
Series:International Journal of Medical Students
Subjects:
Online Access:http://ijms.info/IJMS/article/view/101
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author Joshua Luck
author_facet Joshua Luck
author_sort Joshua Luck
collection DOAJ
description The management of muscle invasive bladder cancer represents an unresolved clinical challenge. Invasive urothelial carcinomas are associated with high mortality rates and early metastatic disease. Radical cystectomy is a recognized standard of care, although disease-free survival outcomes remain suboptimal. The limitations of pre-operative clinical staging, as well as the complex natural history of the disease, precludes the introduction of simple management protocols. To what degree chemotherapy and radiotherapy may be useful in the surgical management of invasive bladder cancer remains contentious. This literature review critically examines the benefits, risks and difficulties of each approach, with an emphasis on individually tailored therapy.
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spelling doaj.art-14c7fe5d146c4ab6b1ec177e9ed0744a2023-09-02T09:05:17ZengUniversity Library System, University of PittsburghInternational Journal of Medical Students2076-63272014-10-012312513110.5195/ijms.2014.101101The Role of Chemotherapy and Radiotherapy in the Surgical Management of Muscle Invasive Bladder CancerJoshua Luck0Medical Student, University of Oxford, United KingdomThe management of muscle invasive bladder cancer represents an unresolved clinical challenge. Invasive urothelial carcinomas are associated with high mortality rates and early metastatic disease. Radical cystectomy is a recognized standard of care, although disease-free survival outcomes remain suboptimal. The limitations of pre-operative clinical staging, as well as the complex natural history of the disease, precludes the introduction of simple management protocols. To what degree chemotherapy and radiotherapy may be useful in the surgical management of invasive bladder cancer remains contentious. This literature review critically examines the benefits, risks and difficulties of each approach, with an emphasis on individually tailored therapy.http://ijms.info/IJMS/article/view/101chemoradiotherapycombined modality therapyurinary bladder neoplasmscystectomy
spellingShingle Joshua Luck
The Role of Chemotherapy and Radiotherapy in the Surgical Management of Muscle Invasive Bladder Cancer
International Journal of Medical Students
chemoradiotherapy
combined modality therapy
urinary bladder neoplasms
cystectomy
title The Role of Chemotherapy and Radiotherapy in the Surgical Management of Muscle Invasive Bladder Cancer
title_full The Role of Chemotherapy and Radiotherapy in the Surgical Management of Muscle Invasive Bladder Cancer
title_fullStr The Role of Chemotherapy and Radiotherapy in the Surgical Management of Muscle Invasive Bladder Cancer
title_full_unstemmed The Role of Chemotherapy and Radiotherapy in the Surgical Management of Muscle Invasive Bladder Cancer
title_short The Role of Chemotherapy and Radiotherapy in the Surgical Management of Muscle Invasive Bladder Cancer
title_sort role of chemotherapy and radiotherapy in the surgical management of muscle invasive bladder cancer
topic chemoradiotherapy
combined modality therapy
urinary bladder neoplasms
cystectomy
url http://ijms.info/IJMS/article/view/101
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