[Comparative evaluation of effectiveness of some methods of treatment in locally invasive cancer of the urinary bladder]

Abstract

Five-year survival cumulative results have been used to assess the efficacy of treatment for locally extended carcinoma of the urinary bladder using different methods: radiation + resection of bladder + chemotherapy; radiation + cystectomy with ureterosigmoanastomosis+chemotherapy; radiation + cystectomy with ureterocutaneostomy + chemotherapy; chemoradiation treatment. In the group of patients with tumors T2(m)NoxMo, the best cumulative results for survival (65 and 70%) were obtained in cases of organ-saving surgery. In tumor T3a, bNox(+, -)Mo group, the best results for survival (31.3%) were registered in patients who had undergone cystectomy. Five-year survival level was not attained in patients with tumors T4a, bNox, IMo, which makes the case for chemoradiation treatment application.