title: [Concomitant chemoradiotherapy for muscle-invasive bladder cancer: current knowledge, controversies and future directions].
abstract: Radical cystectomy with lymphadenectomy is currently the standard of care for muscle-invasive urothelial bladder cancer; however and because of its morbidity and its impact on quality of life, there is a growing tendency for bladder-sparing strategies. Initially reserved for elderly or unfit patients unable to undergo radical cystectomy, chemoradiotherapy became a true alternative to surgery for highly selected patients. Although there are no randomized trials comparing radical cystectomy with bladder preserving approaches, surgery remains the preferred treatment for many clinicians. Furthermore, comparison is even more difficult as modalities of radiotherapy are not consensual and differ between centers with a variability of protocols, volume of irradiation and type of chemotherapy. Several ongoing trials are attempting to optimize chemoradiotherapy and limit its toxicity, especially through techniques of adaptive radiotherapy or targeted therapies.
authors.affiliation: Service de radiothérapie, Institut national d'oncologie, université Mohammed-V Souissi, avenue Allal-El Fassi, 10100 Rabat, Maroc. Electronic address: sara.bellefqih@gmail.com.
authors.forename: S
authors.initials: S
authors.lastname: Bellefqih
authors.affiliation: Service de radiothérapie, Institut national d'oncologie, université Mohammed-V Souissi, avenue Allal-El Fassi, 10100 Rabat, Maroc.
authors.forename: J
authors.initials: J
authors.lastname: Khalil
authors.affiliation: Service de radiothérapie, Institut national d'oncologie, université Mohammed-V Souissi, avenue Allal-El Fassi, 10100 Rabat, Maroc.
authors.forename: I
authors.initials: I
authors.lastname: Mezouri
authors.affiliation: Service de radiothérapie, Institut national d'oncologie, université Mohammed-V Souissi, avenue Allal-El Fassi, 10100 Rabat, Maroc.
authors.forename: H
authors.initials: H
authors.lastname: ElKacemi
authors.affiliation: Service de radiothérapie, Institut national d'oncologie, université Mohammed-V Souissi, avenue Allal-El Fassi, 10100 Rabat, Maroc.
authors.forename: T
authors.initials: T
authors.lastname: Kebdani
authors.affiliation: Service de radiothérapie, hôpital militaire d'instruction Mohamed-V, 10100 Rabat, Maroc.
authors.forename: K
authors.initials: K
authors.lastname: Hadadi
authors.affiliation: Service de radiothérapie, Institut national d'oncologie, université Mohammed-V Souissi, avenue Allal-El Fassi, 10100 Rabat, Maroc.
authors.forename: N
authors.initials: N
authors.lastname: Benjaafar
mesh_terms: D059248:Chemoradiotherapy / Q000639:trends; D005544:Forecasting; D006801:Humans; D009130:Muscle, Smooth; D009361:Neoplasm Invasiveness; D018579:Patient Selection; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000628:therapy*
keywords: Bladder preservation; Chemoradiotherapy; Chimioradiothérapie concomitante; Cystectomie radicale; Muscle-invasive bladder cancer; Préservation vésicale; Radical cystectomy; Tumeur urothéliale infiltrante