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Advanced adenocarcinoma of the urinary bladder successfully treated by the combination of cisplatinum, mitomycin‐C, etoposide and tegafur‐uracil chemotherapy
Author(s) -
Kasahara Kotaro,
Inoue Keiji,
Shuin Taro
Publication year - 2001
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1046/j.1442-2042.2001.00267.x
Subject(s) - medicine , cystectomy , chemotherapy , etoposide , adenocarcinoma , urology , urinary system , urinary bladder , mitomycin c , combination chemotherapy , surgery , bladder cancer , oncology , cancer
Primary adenocarcinoma of the urinary bladder has shown an extremely poor response to radiation or chemotherapy. Therefore, radical surgery is the only therapeutic treatment for it. A case report is presented of a primary advanced adenocarcinoma of the urinary bladder invaded into the uterus with distant metastases which responded completely to systemic combination chemotherapy including tegafur‐uracil. The patient was a 53‐year‐old woman with a history of asymptomatic macrohematuria. She was treated with the combination of cisplatinum, mitomycin‐C, etoposide and tegafur‐uracil chemotherapy. After four courses of the chemotherapy, computed tomography showed marked regression of the primary tumor of the urinary bladder and the complete disappearance of the distant metastases in the liver, lung and para‐aortic lymph node. Subsequently, she underwent radical cystectomy and cutaneous ureterostomy. Pathologically, no viable cancer cells were detected. Three years after the operation, she has no evidence of disease recurrence. Treatment of advanced adenocarcinoma of the urinary bladder by this combination chemotherapy is of benefit.