Zusammenfassung
Dieser Beitrag stellt die Ergebnisse aktueller Studien zur systemischen Chemotherapie des fortgeschrittenen/metastasierten Urothelkarzinoms so wie der neoadjuvanten und adjuvanten systemischen Kombinationschemotherapie des resektablen Harnblasenkarzinoms zusammen. Während über lange Zeit die Therapie mit konventionellen Chemotherapeutika dominierte, sind in den letzten Jahren zunehmend Daten zur Behandlung mit zielgerichteten molekularen Substanzen veröffentlicht worden. In Zukunft wird wie in anderen Tumorentitäten das molekulare „Profiling“ von Patienten zur individualisierten Therapieplanung zu erwarten sein.
Abstract
This review summarizes the results of first-line and second-line systemic chemotherapy for advanced urothelial carcinoma as well as data from adjuvant and neoadjuvant trials for locally advanced bladder cancer. Whereas conventional systemic chemotherapy prevailed for over two decades, targeted therapeutics have been introduced to treat urothelial cancer during recent years. As in other tumor entities, molecular profiling will presumably emerge in the future as a means to tailor individual therapy.
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Interessenkonflikt
Der korrespondierende Autor weist auf folgende Beziehungen hin: PD Dr. med. Retz ist als Referentin für die Fa. Wyeth und Sanofi-Aventis tätig. Prof. Dr. med. J. Gschwend ist als Referent für die Fa. Novartis, Bayer, Roche und Wyeth tätig. PD Dr. med. Lehmann ist als Referent für die Fa. Lilly tätig gewesen. Trotz des möglichen Interessenkonflikts ist der Beitrag unabhängig und produktneutral.
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Retz, M., Gschwend, J. & Lehmann, J. Chemotherapie des Harnblasenkarzinoms. Urologe 48, 655–662 (2009). https://doi.org/10.1007/s00120-009-2021-5
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DOI: https://doi.org/10.1007/s00120-009-2021-5
Schlüsselwörter
- Harnblasenkarzinom
- Urothelkarzinom
- Systemische Chemotherapie
- Adjuvante Chemotherapie
- Neoadjuvante Chemotherapie