Chemoradiatie bij het spierinvasieve blaascarcinoom

The combination of varying treatment strategies (e.g. neoadjuvant chemotherapy and surgery or radiotherapy) in a multimodal setting are increasingly being used in various tumour types. For patients with muscle invasive bladder cancer, multimodal therapy consisting of transurethral resection followed by chemoradiation offers a bladder preserving treatment option. This treatment will result in good long term recurrence free survival, acceptable bladder function, and minimal gastro-intestinal toxicity. Nevertheless, a strict follow-up schedule with imaging and cystoscopy is required in order to detect local recurrence in time for salvage treatment.