MIBC TMT Recent Advances and Unanswered Questions
The controversies surrounding Trimodality Therapy for Bladder preservation for MIBC is still real though at many centres practicing the regimes for TMT are reporting more favourable results than before. It is mentioned that many patients who are in the younger age group are opting for TMT with a hope that they would be able to void via naturalis.
Neoadjuvant Chemotherapy (NAC) is preferred than Adjuvant Chemotherapy after Radical Cystectomy (RC) by many of the experts and newer options of drugs are now available with which the response to NAC appear better. Hence many discuss regarding the possibility of TMT for patients who have favourable response to NAC as against their undergoing RC.
This excerpt provided addresses the protocol adopted by Princess Margaret Cancer Centre as regards TMT.
With warm regards,