[Prevention of postoperative recurrence of bladder cancer: a clinical study]

Zhonghua Wai Ke Za Zhi. 1999 Aug;37(8):464-5.
[Article in Chinese]

Abstract

Objective: To lower postoperative recurrence rate of bladder cancer, the prophylactic effects of five kinds of method on bladder cancer were evaluated.

Methods: Between 1982 and 1997, 313 patients after TURBT or partial cystectomy were followed up for 2 to 15 years (average 7.6 years). These patients were divided into six groups: BCG, mitomycin C (MMC), thiotepa, Chinese herb medicine Zhuling (Grifola umbellata pilat), afterloading brachytherapy and control group. The prophylactic effects of them on postoperative recurrence of bladder cancer was evaluated.

Results: During the follow-up, the recurrence rates were 35.1% in BCG group, 34.9% in Zhuling group, 41.7% in MMC group, 52.6% in thiotepa group, 64.7% in control group, respectively. 25 high-risk patients with invading or multiple bladder cancer were treated by afterloading brachytherapy. They were followed up from 12 to 42 months, with a recurrence rate being 24.0%.

Conclusions: The prophylactic effect of Zhuling and BCG on bladder cancer recurrence was better than MMC. The vale of thiotepa was not significant. The afterloading brachytherapy was of great vale to invading or recurrent, multiple bladder cancer.

Publication types

  • Clinical Trial
  • Comparative Study
  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antibiotics, Antineoplastic / therapeutic use
  • Antineoplastic Agents, Alkylating / therapeutic use
  • BCG Vaccine / therapeutic use*
  • Chemotherapy, Cancer, Regional Perfusion
  • Combined Modality Therapy
  • Female
  • Follow-Up Studies
  • Grifola
  • Humans
  • Male
  • Middle Aged
  • Mitomycin / therapeutic use
  • Neoplasm Recurrence, Local / prevention & control*
  • Phytotherapy*
  • Thiotepa / therapeutic use
  • Urinary Bladder Neoplasms / drug therapy*
  • Urinary Bladder Neoplasms / radiotherapy
  • Urinary Bladder Neoplasms / surgery

Substances

  • Antibiotics, Antineoplastic
  • Antineoplastic Agents, Alkylating
  • BCG Vaccine
  • Mitomycin
  • Thiotepa