The management of locally recurrent invasive bladder cancer following radical cystectomy.
Local recurrence of invasive bladder cancer after radical cystectomy has an aggressive natural history with a poor prognosis. Most patients with this difficult clinical problem have either objective or subclinical metastatic disease. Accordingly, patients should be treated with a multimodality approach that includes systemic treatment (chemotherapy) as well as aggressive local treatments, such as surgery and radiation therapy. Although the prognosis is generally poor, long-term disease-free survival is achievable in a few patients with a multimodality treatment approach
Pisters
L L
LL
Department of Urology, University of Texas MD Anderson Cancer Center, Houston 77030, USA.
Westney
L
L
D000465:Algorithms; D003131:Combined Modality Therapy; D015653:Cystectomy; D006801:Humans; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local / Q000401:mortality / Q000628:therapy*; D011379:Prognosis; D001749:Urinary Bladder Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery / Q000628:therapy*