Shariat - Figure 50
Early radical cystectomy versus BCG
FIG. 50: A trial carried out at Memorial Sloan Kettering Cancer Center found no difference in mortality between immediate radical cystectomy vs no immediate radical cystectomy.[68] The interesting factor for predicting outcomes was optimal patient selection by the physician. No single factor determined of which patients should have received immediate radical cystectomy; rather probably a composition of multiple factors, as discussed previously, should determine which patients should be a candidate for early radical cystectomy, and this should be discussed with every patient.
References
Dalbagni G, Vora K, Kaag M, et al. Clinical outcome in a contemporary series of restaged patients with clinical T1 bladder cancer. Eur Urol. 2009;56:903−10 http://dx.doi.org/10.1016/j.eururo.2009.07.005
