|
Table 20-2. Initial treatment options for bladder cancers. |
|
Cancer Stage |
Initial Treatment Options |
|
Tis |
Complete TUR followed by intravesical BCG |
|
Ta (single, low-to-moderate grade, not recurrent) |
Complete TUR |
|
Ta (large, multiple, high-grade, or recurrent) |
Complete TUR followed by intravesical chemo- or immunotherapy |
|
T1 |
Complete TUR followed by intravesical chemo- or immunotherapy |
|
T2-T4 |
Radical cystectomy |
|
|
Neoadjuvant chemotherapy followed by radical cystectomy |
|
|
Radical cystectomy followed by adjuvant chemotherapy |
|
|
Neoadjuvant chemotherapy followed by concomitant chemotherapy and irradiation |
|
Any T, N+, M+ |
Systemic chemotherapy followed by selective surgery or irradiation |
|
TUR, transurethral resection. |
| |
