Superficial bladder cancer treated by intravesical bacillus Calmette-Guerin or adriamycin: Multicenter study interim report
One hundred sixteen patients with superficial bladder cancers (Stages Ta, T1, and TIS) were evaluated and treated with either intravesical bacillus Calmette-Guerin [Tice strain] (BCG) or doxorubicin hydrochloride (Adriamycin [ADR]), in a multicenter study. One hundred nine of these patients currentl...
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Veröffentlicht in: | Urology (Ridgewood, N.J.) N.J.), 1987-12, Vol.30 (6), p.520-528 |
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creator | Khanna, Om P. Son, Daniel L. Mazer, Howard Read, John Nugent, Dennis Cottone, Robert Heeg, Michael Rezvan, Masoud Viek, Nicholas Friedmann, Marvin |
description | One hundred sixteen patients with superficial bladder cancers (Stages Ta, T1, and TIS) were evaluated and treated with either intravesical bacillus Calmette-Guerin [Tice strain] (BCG) or doxorubicin hydrochloride (Adriamycin [ADR]), in a multicenter study. One hundred nine of these patients currently have follow-up. Of these, 54 were completely resected and 55 incompletely resected. For complete resections, based on recurrence rates per 100 patient months, both BCG (0.22) and ADR (0.91) worked well, although BCG had a slightly lower recurrence rate. However, for incomplete resections, BCG (0.20) had a markedly lower recurrence rate than ADR (2.52). Eighteen patients failed initial treatment, with either BCG or ADR. All have been placed on long-term therapy schedules. Of the 12 failures who currently have follow-up,11 (92 %) have either partially or completely responded with additional intravesical therapy. No patients in this study have yet required cystectomies. |
doi_str_mv | 10.1016/0090-4295(87)90429-8 |
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One hundred nine of these patients currently have follow-up. Of these, 54 were completely resected and 55 incompletely resected. For complete resections, based on recurrence rates per 100 patient months, both BCG (0.22) and ADR (0.91) worked well, although BCG had a slightly lower recurrence rate. However, for incomplete resections, BCG (0.20) had a markedly lower recurrence rate than ADR (2.52). Eighteen patients failed initial treatment, with either BCG or ADR. All have been placed on long-term therapy schedules. Of the 12 failures who currently have follow-up,11 (92 %) have either partially or completely responded with additional intravesical therapy. 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One hundred nine of these patients currently have follow-up. Of these, 54 were completely resected and 55 incompletely resected. For complete resections, based on recurrence rates per 100 patient months, both BCG (0.22) and ADR (0.91) worked well, although BCG had a slightly lower recurrence rate. However, for incomplete resections, BCG (0.20) had a markedly lower recurrence rate than ADR (2.52). Eighteen patients failed initial treatment, with either BCG or ADR. All have been placed on long-term therapy schedules. Of the 12 failures who currently have follow-up,11 (92 %) have either partially or completely responded with additional intravesical therapy. No patients in this study have yet required cystectomies.</description><subject>Administration, Intravesical</subject><subject>BCG Vaccine - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Transitional Cell - therapy</subject><subject>Clinical Trials as Topic</subject><subject>Doxorubicin - therapeutic use</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neoplasm Recurrence, Local - prevention & control</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Remission Induction</subject><subject>Time Factors</subject><subject>Tumors of the urinary system</subject><subject>Urinary Bladder Neoplasms - therapy</subject><subject>Urinary tract. 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Urinary tract diseases</topic><topic>Remission Induction</topic><topic>Time Factors</topic><topic>Tumors of the urinary system</topic><topic>Urinary Bladder Neoplasms - therapy</topic><topic>Urinary tract. Prostate gland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Khanna, Om P.</creatorcontrib><creatorcontrib>Son, Daniel L.</creatorcontrib><creatorcontrib>Mazer, Howard</creatorcontrib><creatorcontrib>Read, John</creatorcontrib><creatorcontrib>Nugent, Dennis</creatorcontrib><creatorcontrib>Cottone, Robert</creatorcontrib><creatorcontrib>Heeg, Michael</creatorcontrib><creatorcontrib>Rezvan, Masoud</creatorcontrib><creatorcontrib>Viek, Nicholas</creatorcontrib><creatorcontrib>Friedmann, Marvin</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Khanna, Om P.</au><au>Son, Daniel L.</au><au>Mazer, Howard</au><au>Read, John</au><au>Nugent, Dennis</au><au>Cottone, Robert</au><au>Heeg, Michael</au><au>Rezvan, Masoud</au><au>Viek, Nicholas</au><au>Friedmann, Marvin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Superficial bladder cancer treated by intravesical bacillus Calmette-Guerin or adriamycin: Multicenter study interim report</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>1987-12-01</date><risdate>1987</risdate><volume>30</volume><issue>6</issue><spage>520</spage><epage>528</epage><pages>520-528</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><coden>URGYAZ</coden><abstract>One hundred sixteen patients with superficial bladder cancers (Stages Ta, T1, and TIS) were evaluated and treated with either intravesical bacillus Calmette-Guerin [Tice strain] (BCG) or doxorubicin hydrochloride (Adriamycin [ADR]), in a multicenter study. One hundred nine of these patients currently have follow-up. Of these, 54 were completely resected and 55 incompletely resected. For complete resections, based on recurrence rates per 100 patient months, both BCG (0.22) and ADR (0.91) worked well, although BCG had a slightly lower recurrence rate. However, for incomplete resections, BCG (0.20) had a markedly lower recurrence rate than ADR (2.52). Eighteen patients failed initial treatment, with either BCG or ADR. All have been placed on long-term therapy schedules. Of the 12 failures who currently have follow-up,11 (92 %) have either partially or completely responded with additional intravesical therapy. No patients in this study have yet required cystectomies.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>3318089</pmid><doi>10.1016/0090-4295(87)90429-8</doi><tpages>9</tpages></addata></record> |
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subjects | Administration, Intravesical BCG Vaccine - therapeutic use Biological and medical sciences Carcinoma, Transitional Cell - therapy Clinical Trials as Topic Doxorubicin - therapeutic use Female Follow-Up Studies Humans Male Medical sciences Neoplasm Recurrence, Local - prevention & control Nephrology. Urinary tract diseases Remission Induction Time Factors Tumors of the urinary system Urinary Bladder Neoplasms - therapy Urinary tract. Prostate gland |
title | Superficial bladder cancer treated by intravesical bacillus Calmette-Guerin or adriamycin: Multicenter study interim report |
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