How do you approach treatment of localized small cell bladder cancer?
Do you prefer surgery vs radiation?
For surgical patients, do you offer neoadjuvant chemotherapy? If so what regimen?
Answer from: Medical Oncologist at Academic Institution
Localized small cell bladder cancers often are upstaged at surgery and show aggressive behavior. I offer 3 months of neoadjuvant chemotherapy (Cisplatin and Etoposide), followed by radical cystectomy for most patients who are surgical candidates (see MD Anderson data, Lynch et al, Eur Urology, ...
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