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Neoadjuvant Chemotherapy with Methotrexate and Cisplatln prior to Radiotherapy for Invasive Transitional Cell Carcinoma of the Bladder. Assessment of Feasibility and Toxicity
Author(s) -
HOWARD G. C. W.,
CORNBLEET M. A.,
WHILLIS D.,
HARGREAVE T. B.,
CHISHOLM G. D.
Publication year - 1991
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1991.tb15392.x
Subject(s) - medicine , chemotherapy , radiation therapy , transitional cell carcinoma , methotrexate , regimen , cisplatin , toxicity , oncology , urinary bladder , urology , surgery , bladder cancer , cancer
Summary A prospective study has been performed to assess the feasibility and toxicity of administering neoadjuvant chemotherapy with methotrexate (200 mg/m 2 ) and cisplatin (100 mg/m 2 ) prior to radical radiotherapy. Twenty patients with advanced transitional cell carcinoma of the bladder were assessed after each of 3 courses of chemotherapy, after radiotherapy and 6 months following treatment. Of particular concern was whether neoadjuvant chemotherapy compromised the ability to give potentially curative radical radiotherapy, delayed effective palliation of distressing urinary symptoms, or allowed local tumour progression prior to definitive treatment. It was concluded that this chemotherapy regimen was well tolerated, did not compromise the ability to give radical radiotherapy and resulted in the prompt palliation of urinary symptoms. This treatment, however, did not stop the development or progression of metastatic disease in some patients. In only 1 patient was there local progression during chemotherapy.