Would you consider concurrent chemoRT for unresectable bladder adenocarcinoma?
The current treatment for bladder adenoCA is surgery. However in non-surgical candidates, RT is an option. Would you consider adding chemo ? Also would the dose be the same as for transitional cell bladder ca?
Answer from: Radiation Oncologist at Academic Institution
The simple answer is YES. If unresectable then follow the established treatment paradigm of maximal TURBT followed by ChemoRT. Platinum based regimens are typically the standard with good evidence for alternative schedules such as 5FU/mitomycin or Gemcitabine (low dose). This is s potentially curati...