BACILLUS CALMETTE-GUERIN THERAPY FOR SUPERFICIAL BLADDER-CANCER - A 10-YEAR FOLLOW-UP

被引:150
作者
HERR, HW [1 ]
WARTINGER, DD [1 ]
FAIR, WR [1 ]
OETTGEN, HF [1 ]
机构
[1] MEM SLOAN KETTERING CANC CTR,DEPT MED,CLIN IMMUNOL SERV,NEW YORK,NY 10021
关键词
BLADDER NEOPLASMS; BCG VACCINE; CARCINOMA; TRANSITIONAL CELL;
D O I
10.1016/S0022-5347(17)37452-9
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
We report the outcome of 61 patients with superficial bladder tumors who received bacillus Calmette-Guerin (BCG) therapy and were followed for at least 10 years (range 10 to 13 years). A total of 19 patients (31%) remains free of tumor and progression, 17 (28%) had interval superficial recurrences but no progression and 25 (41%) had progression, first identified as muscle invasion in 12, prostatic involvement in 8 or metastasis in 5. Most tumors recurred or progressed within the first 5 years. Of the 61 patients 33 (54%) are disease-free and with an intact bladder, 13 (21%) are alive after cystectomy, 2 (3%) died of other causes, 1 (2%) is alive with metastasis and 12 (20%) died of metastatic urothelial cancer (11 from the bladder or prostate and 1 from an upper tract tumor).
引用
收藏
页码:1020 / 1023
页数:4
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