The paper presented the results of the combined multistage treatment of 60 patients with advanced carcinoma of the urinary bladder: intra-arterial chemotherapy, immunotherapy, radiation therapy and surgery. Intra-arterial chemotherapy was performed in total dosages of the following drugs: 5-fluorouracil, 3-4 g/m2, adriamycin, 100-120 mg/m2, methotrexate, 20-40 mg/m2, platidiam, 30-50 mg/m2. Immunotherapy was exercised through endolymphatic administration of BCG vaccine in a dose of 0.
View Article and Find Full Text PDFThe results of prolonged intra-arterial chemotherapy in 61 patients with locally advanced bladder cancer (T3-T4) are discussed. Regional internal iliac artery infusion of chemotherapeutic agents was done daily for 5 or 7 days at a rate of 1 to 3 ml/h over an 18-20-h period. The total dosages of each course were 60-120 mg/m2 adriamycin, 2.
View Article and Find Full Text PDFVestn Akad Med Nauk SSSR
February 1989
An analysis of the results of combined therapy of patients with cancer of different sites has shown a high efficacy of the method. The use of radiation therapy in combination with known surgical ablation methods results in a decrease in the number of local recurrences and distant tumor metastases as well as in an increase in the proportion of operable patients with locally spread tumors. These methods contribute to the prolongation of cancer patients' life.
View Article and Find Full Text PDFLymphographic studies were carried out in 1070 patients to identify patterns of lymphogenic dissemination of cancer of the cervix and corpus uteri, prostate, urinary, bladder and rectum. A direct correlation between the frequency and degree of metastatic spread and local extension of tumor process was established. The most frequent sites for metastasis were the external and common iliac lymph nodes.
View Article and Find Full Text PDF