Radiation Oncology

Bladder Cancer   

Questions discussed in this category



The current treatment for bladder adenoCA is surgery. However in non-surgical candidates, RT is an option. Would you consider adding chemo ? Also woul...

Would you offer it for positive margins? NCCN says to consider adjuvant radiation for pT3-T4 or pN0-2. Is there sufficient evidence for adjuvant radia...

If so, is there a role for IMRT?  I was taught to use the RTOG style ports with whole pelvis 4 field box and then boost field to entire bladder ...

For a patient with a history of non-muscle invasive disease in the bladder, presenting with a prostatic urethra only recurrence, do you approach this ...

I've heard justification for treating the whole bladder to 60-64 Gy based on the UK MRC study (James et al. NEJM 2012 and Huddart et al. IJROBP 2013) ...

Realistically, there will always be some (hopefully small) inconsistency with bladder filling, and thus some small bowel could easily receive &ge...

Assuming a patient who could tolerate either, which is preferred? Does this depend on the choice for concurrent chemotherapy (5FU+mitomycin vs ci...

Specifically, for high grade T1 bladder cancer, is there evidence that definitive radiation yields similar control rates compared to cystectomy?

In the definitive setting, and would that change if cystecomy was planned if there was a complete response after CRT?  (similar to TCC paradigm).


Papers discussed in this category


N. Engl. J. Med., 2012-04-19

Pract Radiat Oncol, 2015 Jan-Feb

Int. J. Radiat. Oncol. Biol. Phys., 2012-03-01

J Clin Oncol, 2004 Jul 1

Int. J. Radiat. Oncol. Biol. Phys., 2004-05-01

Int. J. Radiat. Oncol. Biol. Phys., 1990-09-01

Radiother Oncol, 2006 Oct

Eur Urol, 2012 Apr

Eur Urol, 2014 Jul

J. Urol., 2007-09-01

J. Clin. Oncol., 2006-05-20

J. Clin. Oncol., 2017-07-10

Bladder Cancer, 2017 Jan 27

Int J Radiat Oncol Biol Phys, 2016 Sep 1

Int. J. Radiat. Oncol. Biol. Phys., 2016-04-01

Int. J. Radiat. Oncol. Biol. Phys., 2017-03-15

Int J Radiat Oncol Biol Phys, 2013 Feb 1

Cancer, 2014 Apr 15

J Clin Oncol, 2011 Jun 1

Med Dosim, 2015 Winter

Int J Radiat Oncol Biol Phys, 2016 Jun 1

World J Urol, 2015-11-01

Int. J. Radiat. Oncol. Biol. Phys., 2014-08-01