Amaç: Kasa invaze mesane kanserinin tedavisinde yüksek metastaz riski nedeniyle sistemik tedavi önerilmektedir. Neoadjuvan veya adjuvan tedaviyi karşılaştıran yeterli çalışma olmaması nedeniyle bu çalışmada amacımız lokal ileri evre mesane kanserinde neoadjuvan veya adjuvan tedavi alan hastaların tedavi etkinliğini karşılaştırmaktır.
Gereç ve Yöntemler: Radikal sistektomi yapılan ve perioperatif kemoterapi alan 6 merkezden 107 mesane kanseri hastası retrospektif olarak çalışmaya dahil edildi. Hastalar 2 kategoriye ayrıldı: (i) neoadjuvan kemoterapi (n=54) ve (ii) adjuvan kemoterapi (n=53). Ortanca takip süresi 31.6 aydı (%95CI 21.8-41.4). 30. ay hastalıksız sağkalım oranı (HSO) tüm grupta %58.9, neoadjuvanda %56.3 ve adjuvanda %61.5 idi. Neoadjuvan tedavi sonrası 30.ay HSS evrelemeye göre
mesane kanseri neoadjuvan kemoterapi radikal sistektomi adjuvan kemoterapi sağkalım sonuçları
Aim: Muscle-invasive bladder cancer requires systemic treatment due to its high risk of metastasis. However, studies comparing neoadjuvant and adjuvant therapy regimens are currently limited. Our goal in this study was to compare the treatment efficacy of patients receiving neoadjuvant or adjuvant treatment in locally advanced bladder cancer.
Material and Methods: We retrospectively included 107 bladder cancer patients from 6 centres who underwent radical cystectomy and received perioperative chemotherapy. Patients were divided into 2 categories: (i) neoadjuvant chemotherapy (n=54) and (ii) adjuvant chemotherapy (n=53).
Results: Median follow-up was 31.6 months (95%CI 21.8-41.4). 30-month disease-free survival (DFS) was 58.9% in the whole group, 56.3% in neoadjuvant and 61.5% in adjuvant. 30-month DFS after neoadjuvant treatment was 70.1% in
Bladder cancer neoadjuvant chemotherapy radical cystectomy adjuvant chemotherapy outcome analysis
Primary Language | English |
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Subjects | Clinical Oncology |
Journal Section | Research Article |
Authors | |
Publication Date | March 25, 2025 |
Submission Date | October 29, 2024 |
Acceptance Date | March 6, 2025 |
Published in Issue | Year 2025 Volume: 16 Issue: 1 |
e-ISSN: 2149-8296
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