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Review
. 2006 May;49(5):790-7.
doi: 10.1016/j.eururo.2006.01.017. Epub 2006 Jan 24.

Management of BCG failures in superficial bladder cancer: a review

Johannes A Witjes  1
Affiliations
Review

Management of BCG failures in superficial bladder cancer: a review

Johannes A Witjes. Eur Urol. 2006 May.

Abstract

Objective: Review management of bacillus Calmette-Guérin (BCG) failures in superficial bladder cancer.

Method: Search of published literature and meeting abstracts.

Results: Patients in whom BCG fails are not a uniform group. Failure cannot be predicted but high-risk patients can be identified. In case of failure and progression the outcome is bad. Conservative but investigative alternatives are BCG/interferon-alpha, intravesical hyperthermia/chemotherapy, or photodynamic therapy. Standard treatment in failing patients remains cystoprostatectomy.

Conclusion: BCG failures need careful and individualized therapy in experienced hands.

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Comment in

  • Management of BCG "Failures".
    Palou Redorta J. Palou Redorta J. Eur Urol. 2006 May;49(5):779-80. doi: 10.1016/j.eururo.2006.03.006. Epub 2006 Mar 20. Eur Urol. 2006. PMID: 16616207 No abstract available.

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