Burger - Figure 37

No differentiation

FIG. 37:  The NCCN bladder cancer guidelines[5] state that in small center carcinoma, neoadjuvant chemotherapy and local therapy with either cystectomy or radiotherapy is the treatment of choice, regardless of tumor stage.  Two different chemotherapy approaches have been suggested, as shown in the Figure, and the same regimens are being debated in non-metastatic/metastatic cases.

References

[5]

Spiess PR et al; NCCN Guidelines Version 5.2017 Panel Members Bladder Cancer. NCCN Clinical Practice Guidelines in Oncology. Bladder Cancer Version 5.2017. Fort Washington, PA: National Comprehensive Cancer Network; 2017 https://www.nccn.org/professionals/physician_gls/pdf/bladder.pdf Accessed August 11, 2017