Published in:
01-01-2016 | Original Article
Hypofractionated palliative radiotherapy for bladder cancer
Authors:
Piet Dirix, Sofie Vingerhoedt, Steven Joniau, Ben Van Cleynenbreugel, Karin Haustermans
Published in:
Supportive Care in Cancer
|
Issue 1/2016
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Abstract
Purpose
The aim of this study was to evaluate hematuria-free survival as well as acute and late toxicity after hypofractionated palliative radiotherapy for bladder cancer.
Methods and materials
Between September 2004 and January 2013, 44 patients with biopsy-proven urothelial carcinoma of the bladder were irradiated according to a palliative schedule to a total dose of 34.5 Gy in six fractions of 5.75 Gy given once a week.
Results
After a mean follow-up of 10 months, 91 % of patients were still hematuria free, with a mean hematuria-free survival of 13 months. Severe (≥ grade 3) acute and late urinary toxicity was observed in 9 and 19 % of patients, respectively.
Conclusion
This hypofractionated radiotherapy schedule appears to result in acceptable toxicity and manages successful and long-term palliation of hematuria in most patients.