A comparative evaluation of effectiveness of certain procedures for locally extended cancers of urinary bladder

Five-year survival cumulative results have been used to assess the efficacy of treeatment for locally extended carcinoma of the urinary bladder using different methods: radiation + resection of bladder + chemotherapy: radiation + cystectomy with ureterosigmoanastomosis + chemotherapy; radiation + cystectomy with ureterocutaneostomy + chemotherapy: chemoradiation treatment. In the group of patients with tumors T2(m)NoxMo, the best cumulative results for survival (65 and 70%) were obtained in case of organ-saving surgery. In tumor T3a,bNox(+,-)Mo group, the best results for survival (31.3%) were registered in patinets who had undergone cystectomy. Five-year survival level was not attained in patients with tumors T4a,bNox,IMo, which makes the case for chemoradiation treatment application