Is there a role for radiation in the treatment of superficial, non-muscle-invasive bladder cancer?

The data from Germany looks good for high grade non muscle invasive disease with chemo RT. Based on this, RTOG also has a protocol for this subset. There is no randomised comparison to surgery, but compared to the published surgical data, it looks comparable:

http://jco.ascopubs.org/content/24/15/23...