Page 1 of 1: BLADDER CA TRATMENT

drpsg · Credits: 6208 My Scrapbook

TRUE ABT INTRAVESICAL CHEMO FOR U BLADDER CA IS ALL EXCPET

1)DECREASED RECURRENCE RATE
2)DECREASED PROGRESSION OF THE TUMOR
3)GIVEN REGULARLY FOR MEDIUM GRADE PTa TUMOR POST TUR
4)INTRAVESICAL IMMUNOTHERAPY BY BCG IS MORE EFFECTIVE THAN INTRAVESICAL CHEMO

rakhijain · Credits: 14597 My Scrapbook

is theans given is c intravesical immunotherapy is more effective then intravesical chemo, for medium grade t-a tumour chemotherapy by mitomycin-c, adriamycin, epirubicin is given and not bcg and it decreases recurrence rate too and i think progrresion too that is why given in cis

rakhijain · Credits: 14597 My Scrapbook

is theans given is c intravesical immunotherapy is more effective then intravesical chemo, for medium grade t-a tumour chemotherapy by mitomycin-c, adriamycin, epirubicin is given and not bcg and it decreases recurrence rate too and i think progrresion too that is why given in cis

friendy · Credits: 736 My Scrapbook

Rakhi ,u wrote chemotherapy is givn by mitomycin-c,adriamycin n not bcg,rite.option 4 says that its immuno e bcg that is more effective...........plz explain wat u mean.thanks.

rakhijain · Credits: 14597 My Scrapbook

actually bcg is given in cis and stages pt1 and i think the there is some thing left in the ques i think all the options are regarding bcg i suppose

rakhijain · Credits: 14597 My Scrapbook

cis stage is dealt with bcg and if refractory case is there do cystectomy but this is done very rarely

for stage pta do resection fol by chemotherapy except bcg

for stage pt1 resection fol by bcg

for stage pt2andpt3 do cystectomy
this is in short refer bailey and schwartz for details

drpsg · Credits: 6208 My Scrapbook

HI THERE THANKS FOR UR PRECIOUS VIWS BUT BAILEY CLEARLY MENTIONS THAT THE INTRA VESICAL CHEMO DOES NOT RETARD THE PROGRESSION OF THE DISESE

AND INTRAVESICAL BCG IS MORE EFFECTIVE THAT INTRAVESI CHEMO

REF BAILEY

SO ANS IS OP 2

friendy · Credits: 736 My Scrapbook

do we use bcg in immunotherapy or chemotherapy,.............????

rakhijain · Credits: 14597 My Scrapbook

yes dr drpsg i referred schwartz again and in it ,it is clearly written that chemotherapy is given to prevent reccurence and so the ans is 2 , i dont know why i had this misconception that it also prevents disease progrresion

simba7ligo · Credits: 305 My Scrapbook

hi guys

it is said that stage 1 of bladder CA is treated with TURT and follow up is 3 months ... if there is recurrence then intravesicular BCG is used which is an immunotherapy.... that is only on stage 1 of the stage 2 requires cystectomy and more advanced chemotherapy and all the other tx used ... but BCG is helpful is stage 1 of the bladder CA

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