Besserer A, Ernst H
Urologe A. 1986 Jan;25(1):12-7.
Stagnation in the therapeutic results obtained in treating bladder carcinomas and the very similar results of all treatment methods show that essentially it is not the primary treatment but the stage and biological potency of the tumor that determines the course of the disease. From a radio-oncological viewpoint, it therefore seems appropriate to suggest a treatment concept based on these prognostic criteria, which is adjusted according to the possible therapeutic benefit. The value of radiotherapy as an alternative to cystectomy or as a combination procedure with radical surgical interventions is discussed on the basis of the current literature and our own treatment results.
在膀胱癌治疗中所取得的治疗效果停滞不前,且所有治疗方法的结果都非常相似,这表明从根本上来说,决定疾病进程的并非初始治疗方法,而是肿瘤的分期和生物学活性。因此,从放射肿瘤学的角度来看,基于这些预后标准提出一种根据可能的治疗益处进行调整的治疗理念似乎是合适的。基于当前文献和我们自己的治疗结果,讨论了放射治疗作为膀胱切除术替代方案或与根治性手术干预联合使用的价值。