Case Report

Radical Chemoradiotherapy for Urethral Squamous Cell Carcinoma: Two Case Reports and a Review of the Literature

Table 1

Multimodality treatment of squamous cell carcinoma of the urethra.

Reference
Year
N StageChemotherapy regimeRadiotherapy
Dose (Gray)
SurgeryOutcome

[10]
1985
1Locally advanced
Female
Mitomycin C and
5-fluorouracil
Disease-free at 30 months

[11]
1989
1Locally advanced
SCC
Mitomycin C 15 mg/m2  and
5-fluorouracil 1250 mg/m2
40 Gy in 20 fractionsDisease-free at 28 months

[12]
1992
1Locally advanced
SCC
Male
5-Fluorouracil
1 mg/m2  and
mitomycin C 5 mg/m2
40 Gy in 20 fractionsDistal urethrectomy with en bloc resection of the adjacent corpora cavernosaCure

[13]
1995
4Locally advanced
SCC
Male and female
5-Fluorouracil (100 mg/m2) and mitomycin C (15 mg/m2)30–50 Gy43–98 months median survival

[14]
1995
1Locally advanced
SCC
Male
5-Fluorouracil
mitomycin C

[15]
1995
1Stage IVB
SCC
5-Fluorouracil 1400 mg and mitomycin C 18 mg55.80 Gy in 31 fractionsDisease free at 5.5 yrs

[16]
1998
3Locally advanced
SCC
5-Fluorouracil and cisplatin45 GyDistal urethrectomy50% DFS

[17]
2004
2Locally advanced
SCC
5-Fluorouracil 750 mg/m2 and cisplatin 60 mg/m260 Gy in 30 fractionsOne LR at 42 months
The other is disease-free at 27 months

[18]
2008
18T2N0 (11%)
T3N0 (44%)
T4N0 (11%)
TXN1 (6%)
TXN2 (28%)
5-Fluorouracil (1000 mg/m2) and mitomycin C (10 mg/m2)45–55 Gy 25 fractionsSalvage surgery in selected cases54% 5 year DFS chemoradiation
72% 5 year DFS chemoradiation and salvage surgery

[19]
2011
1Locally advancedCisplatin weekly
Following surgery: Adjuvant cisplatin and 5-fluorouracil
Doses not available
60 Gy in 30 fractionsSalvage surgery 12 weeks after chemoradiotherapy due to local progressive disease: radical en bloc resection, abdominoperineal resection, right inguinal superficial lymphadenectomy, cystoprostatectomy with ileal conduit, penectomy, scrotal incision, and bilateral orchiectomy.Symptom control for 5 months

N: number of patients, SCC: squamous cell carcinoma, DFS: disease-free survival, LR: Local recurrence, and Gy: Gray.