No products in the cart.
Quick Take: Accelerated hypofractionated radiation therapy for elderly frail bladder cancer patients unfit for surgery or chemotherapy
The standard of care for T2-T4aN0M0 muscle-invasive bladder cancer (MIBC) and high-risk non-MIBC in fit patients is radical cystectomy (RC). In patients unfit for RC, or in cases where bladder preservation is desired, trimodality therapy (TMT) incorporating maximal transurethral resection of bladder tumor (TURBT) and radiation therapy (RT) with concurrent chemotherapy (CMT) can be considered, with comparable efficacy in terms of overall cancer-specific and disease-free survival. As many elderly patients are not considered suitable surgical candidates, TMT is often considered in this patient population. However, these patients may also be unfit for chemo-radiation. Hypofractionation has been investigated as a strategy to increase the efficacy of radiation therapy in this patient population. The purpose of this cohort study was to assess the treatment outcomes of definitive image-guided accelerated hypofractionated radiation therapy in 17 elderly patients with MIBC not considered suitable candidates for surgery or TMT. All patients underwent TURBT, however, in 64.7% of patients this was concluded as incomplete due to deep tumor involvement of the bladder wall or wide area of spread. The median overall treatment time was 20 days, with no patients receiving neoadjuvant chemotherapy. Researchers found that complete local response at 3-month cystoscopy was 69%, where 6 patients (35%) developed a local recurrence, and 2 patients (11.7%) developed distant metastases. Overall survival at 1 year and 2 years were 85% and 63%, respectively. This study therefore shows that accelerated hypofractionated radiotherapy alone may provide good control in elderly patients unfit for combination chemotherapy and radiation.
 Click to read the study in the American Journal of Clinical Oncology
Image: PD
©2019 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.
RelatedReports
License Our Award-Winning Physician-Written Medical News and Visual Abstracts
2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.
2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.