How do you approach local control in intermediate risk bladder rhabdomyosarcoma in very young (<24 months) children ?
Would you consider radical cystectomy equivelant in terms of local control and how do you balance morbidity of radiation with morbidity of non-organ preservation approach?
Answer from: Radiation Oncologist at Academic Institution
These two approaches are probably equivalent in qualified hands (cystectomy / prostatectomy or definitive RT) in terms of local control. This issue is balancing morbidity.
The surgical approach in many cases will require a full cystectomy, necessitating the creation of a neobladder...