The Japanese Journal of Urology
Online ISSN : 1884-7110
Print ISSN : 0021-5287
ISSN-L : 0021-5287
A COMBINED TREATMENT WITH 8MHz RADIOFREQUENCY HYPERTHERMIA, HPC-ADRIAMYCIN, IMMUNOTHERAPY, RADIATION, SYSTEMIC CHEMOTHERAPY AND IRRADIATION FOR INVASIVE BLADDER CARCINOMA
Kosuke UedaHiroshi SakagamiFumihide KatoTooru MogamiKazuo OhtaguroYasuhiko Masui
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1990 Volume 81 Issue 9 Pages 1330-1336

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Abstract

Hyperthermia was induced for the treatment of invasive bladder carcinoma in order to study it's usefulness.
The subjects were 12 cases of invasive bladder cancer; including 5 cases of T2, 3 cases of T3, 2 cases of T4, and 2 cases of recurrence after total cystectomy. As previous treatment, 4 patients received radiotherapy and the other received TUR, systemic chemotherapy, and intravesical injection of anticancer drugs. For hyperthermia treatment, a Thermotron RF-8 was used for heating a deep seated tumor. Each case recieved hyperthermia 2 to 10 times. Combined therapy included injection of HPC-adriamycin into the urinary bladder in 5 cases, immunotherapy in 3 cases, M-VAC therapy in one case, rediotherapy in one case, radiotherapy and intra-arterial injection in one case, and Peplomycin and OK-432 local injection in one case.
The treatment results showed a 75% effectiveness; with CR in 4 cases, PR in 5 cases, MR in 2 cases and PD in one case. Three patients died and 9 survived. Of four patients who had received radiotherapy as a previous treatment 3 cases obtained CR and one case MR. Therefore, it was considered that a favorable treatment effect with hyperthermia could be obtained after radiotherapy.

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© Japanese Urological Association
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