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Radiation Oncology • Genitourinary Cancers
When using chemoRT for bladder preservation in muscle invasive bladder cancer after maximal TURBT, how should the mid-point (40 - 45 Gy) cystoscopy be utilized?
The mid treatment cystoscopy has been standard, but treating with or without mid-RT cystoscopy are both included in the NCCN guidelines. Can the treatment break result in inferior outcome?
Answer from: Radiation Oncologist at Community Practice
The thought is that medically inoperable patients go straight through (since no point in evaluation, b/c they won't be getting cystectomy), but for medically operable patients, they may be better served by cystectomy after a cystoscopy that does not show a CR, and that has been the RTOG approach. Ho...
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