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TheScientificWorldJOURNAL
Volume 7, Pages 1736-1742
http://dx.doi.org/10.1100/tsw.2007.283
Original Research

Five-Year, Disease-Free Survival after Repeat Palliative Multimodality Therapy in a Patient with Recurrent Metastastic Bladder Cancer

1Division of Hematology and Oncology, Department of Internal Medicine, Sana Hospital Lübeck, Kronsforder Allee 72-74, D-23560 Lübeck, Germany
2Department of Urology Freiburg, University Hospital Medical Centre, D-79106 Freiburg im Breisgau, Germany

Received 11 September 2007; Revised 3 October 2007; Accepted 11 October 2007

Academic Editor: Anthony Atala

Copyright © 2007 Sebastian Fetscher et al.

Abstract

In appropriately selected cases, palliative therapeutic strategies can be adapted to those special features of cancer biographies that indicate an atypical course of disease. Elucidating these features, and adapting multimodal treatment strategies to them, can lead to significantly superior effects when compared to the routine application of conventional treatment algorhythms. A case of regionally metastactic bladder cancer is presented that documents the value of repeat debulking-surgery and repeat radiotherapy leading to unexpected short-term and long-term treatment results.