A 60-yrs-old man sees a urologist for what he describes as bloody urine. A urine sample is positive for cytologic evidence of malignancy. Cystoscopy confirms the presence of superficial transitional cell carcinoma. The recommended treatment for stage A (superficial and submucosal) transitional cell carcinoma of the bladder is:
|D||Topical (intra vesicular) chemotherapy|
a. Induction therapy using chemotherapeutic agents instilled within 6 hours of TURBT has demonstrated a clear impact on recurrence rate .
b. 15% progression rate in BCG patients compared with a 37% progression rate in chemotherapy patients is observed .
c. Nevertheless, The risk of BCG infectious complications is nonexistent with chemotherapy, leading community to favor this approach.
d. BCG is relatively inexpensive in most countries, whereas MMC is usually very expensive.