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Concurrent chemoradiotherapy in elderly patients with muscle-invasive bladder cancer: A single-center experience
- Source :
- Journal of Cancer Research and Practice, Vol 3, Iss 3, Pp 73-76 (2016)
- Publication Year :
- 2016
- Publisher :
- Medknow, 2016.
-
Abstract
- Background Bladder cancer is a disease frequently seen in the elderly. Frail and elderly patients with muscle-invasive bladder cancer (MIBC) are often unfit for surgery. While concurrent chemoradiotherapy (CCRT) is a well-established alternative treatment modality, only a small proportion of elderly patients receive CCRT. The purpose of this article is to review our experience with CCRT in elderly MIBC patients. Methods Between January 1, 2007 and December 31, 2013, we retrospectively reviewed patients aged >75 who were treated with CCRT at Taipei Veterans General Hospital. Patients' characteristics, therapeutic strategy, clinical outcomes, and treatment-related toxicities were assessed. Results Nineteen patients (4 females and 15 males) were identified. The median age was 79.5 years (range, 78.5–84.0 years) and the median follow-up was 33.7 months (interquartile range, 19.1–51.8 months). The major adverse event was grade 3 or grade 4 neutropenia, which developed in 10 of the 19 patients. No treatment-related mortality occurred. We found no association between prognosis and the chemotherapy regimen. Chemotherapy with a conventional dose of gemcitabine (800–1000 mg/m2) was well tolerated. The two-year and three-year estimated overall survival rates were 74% and 60%, respectively. Conclusion CCRT after complete transurethral resection of the bladder tumor is feasible for elderly patients with MIBC. The conventional dose of gemcitabine as a chemosensitizer is adequate in the elderly population, but further investigation is needed.
- Subjects :
- Cultural Studies
Linguistics and Language
History
medicine.medical_specialty
medicine.medical_treatment
030232 urology & nephrology
Neutropenia
Single Center
lcsh:RC254-282
Language and Linguistics
03 medical and health sciences
Elderly
0302 clinical medicine
Interquartile range
medicine
Adverse effect
Bladder cancer
business.industry
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
medicine.disease
Chemotherapy regimen
humanities
Gemcitabine
Surgery
Radiation therapy
Bladder preservation
030220 oncology & carcinogenesis
Anthropology
Concurrent chemoradiation
business
medicine.drug
Subjects
Details
- ISSN :
- 23113006
- Volume :
- 3
- Database :
- OpenAIRE
- Journal :
- Journal of Cancer Research and Practice
- Accession number :
- edsair.doi.dedup.....067f29cecad41d68570f5417a2c51bd2