["Surgery only" is not enough: potential of multimodal therapy in urothelial bladder carcinoma].
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2022
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Abstract
Radical cystectomy is the standard treatment for muscle invasive bladder cancer. Using perioperative cisplatin-based chemotherapy, 5‑year overall survival rates are 5% higher with neoadjuvant chemotherapy compared to local therapy alone. New multimodal concepts have been developed to improve oncologic efficacy and to reduce treatment-related morbidity. Perioperative use of checkpoint inhibitors aims at improving efficacy, while bladder-preserving concepts try to avoid cystectomy in good responders. This article reviews new developments in radioimmunotherapy and perioperative combination therapies as well as bladder-preserving concepts like trimodal bladder therapy.
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schmid2022surgeryurologie
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| Authors | Schmid, S C;Lewerich, J;Retz, M;Rödel, Claus; |
| Journal | Urologie (Heidelberg, Germany) |
| Year | 2022 |
| DOI |
10.1007/s00120-022-01963-9
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