COMPARISON BETWEEN CONCURRENT CHEMORADIATION WITH VERSUS WITHOUT CHEMOTHERAPY AS BLADDER PRESERVATION PROTOCOL IN MUSCLE INVASIVE BLADDER CANCER
Mohamad, Y. (2021). COMPARISON BETWEEN CONCURRENT CHEMORADIATION WITH VERSUS WITHOUT CHEMOTHERAPY AS BLADDER PRESERVATION PROTOCOL IN MUSCLE INVASIVE BLADDER CANCER. EKB Journal Management System, 3(4), 54-55. doi: 10.21608/alexpo.2021.97871.1282
Yomna Mahmoud Mohamad. "COMPARISON BETWEEN CONCURRENT CHEMORADIATION WITH VERSUS WITHOUT CHEMOTHERAPY AS BLADDER PRESERVATION PROTOCOL IN MUSCLE INVASIVE BLADDER CANCER". EKB Journal Management System, 3, 4, 2021, 54-55. doi: 10.21608/alexpo.2021.97871.1282
Mohamad, Y. (2021). 'COMPARISON BETWEEN CONCURRENT CHEMORADIATION WITH VERSUS WITHOUT CHEMOTHERAPY AS BLADDER PRESERVATION PROTOCOL IN MUSCLE INVASIVE BLADDER CANCER', EKB Journal Management System, 3(4), pp. 54-55. doi: 10.21608/alexpo.2021.97871.1282
Mohamad, Y. COMPARISON BETWEEN CONCURRENT CHEMORADIATION WITH VERSUS WITHOUT CHEMOTHERAPY AS BLADDER PRESERVATION PROTOCOL IN MUSCLE INVASIVE BLADDER CANCER. EKB Journal Management System, 2021; 3(4): 54-55. doi: 10.21608/alexpo.2021.97871.1282

COMPARISON BETWEEN CONCURRENT CHEMORADIATION WITH VERSUS WITHOUT CHEMOTHERAPY AS BLADDER PRESERVATION PROTOCOL IN MUSCLE INVASIVE BLADDER CANCER

ALEXMED ePosters
Article 223, Volume 3, Issue 4, December 2021, Page 54-55  XML
Document Type: Preliminary preprint short reports of original research
DOI: 10.21608/alexpo.2021.97871.1282
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Author
Yomna Mahmoud Mohamad email
Department of Clinical Oncology and Nuclear Medicine, Faculty of Medicine, Alexandria University
Abstract
INTRODUCTION:
Concurrent chemo-radiotherapy (CRT) plays an integral role in the definitive bladder preservation treatment of muscle invasive bladder cancer (MIBC). The role of induction neoadjuvant chemotherapy (NAC) prior to CRT is yet unclear.
AIM OF THE WORK
We aimed to compare the treatment outcomes of NAC followed by CRT versus definitive CRT in patients with MIBC undergoing bladder preservation.
MATERIALS & METHODS:
This is a retrospective study of 46 patients with MIBC who had undergone bladder preservation treatment after maximal transurethral tumor resection (TURBT) from Jan 2016 to Dec 2019. Patients were distributed into 2 groups; group A (n=23) received definitive CRT while group B (n=23) received 3 cycles induction NAC (Cisplatin 70 mg/m2 on day 1 and Gemcitabine 1000 mg/m2 on day 1 & 8) 21-day apart prior to CRT. In both groups, 3D conformal RT total bladder dose was up to 60-65Gy using conventional fractionation concurrent with weekly cisplatin (40mg/m2). Response assessment and patient follow-up were done by cystoscopy with biopsy and CT scan. The primary outcomes were ORR, mean DFS and two-year OS. Survival data was determined by Kaplan–Meier estimator, statistical inferences by the log-rank test and multivariate analysis by multiple linear regression. Treatment related adverse events were reported following NCI-CTCAE v4.0.
Keywords
CHEMOTHERAPY; BLADDER; PRESERVATION
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