Squamous cell carcinoma of the bladder: a patient treated successfully with a new combined chemotherapy regimen, intraarterial nedaplatin and pirarubicin plus intravenous methotrexate and vincristine

Int J Clin Oncol. 2006 Aug;11(4):329-31. doi: 10.1007/s10147-006-0571-8.

Abstract

We report a case of squamous cell carcinoma (SCC) of the bladder treated successfully with intraarterial chemotherapy using nedaplatin. A 75-year-old woman was admitted to our hospital in March 2004 with gross hematuria. Cystoscopic examination showed tumors on the anterior bladder wall. Computed tomography (CT) scans and magnetic resonance imaging (MRI) revealed extravesical invasion of the tumors, and a clinical diagnosis of T3bN0M0 was made. Transurethral biopsy was performed, and histopathological examination revealed SCC, grade 2-3, invasive. The patient received a new combined chemotherapy, intraarterial nedaplatin and pirarubicin plus intravenous methotrexate and vincristine. After two courses of the chemotherapy, CT scans and MRI demonstrated no tumor in the bladder. Transurethral bladder-wall biopsy was performed in November 2004, and histopathological examination of the specimen revealed no definite tumors. The patient is alive without evidence of disease more than 1 year after the chemotherapy.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Carcinoma, Squamous Cell / diagnostic imaging
  • Carcinoma, Squamous Cell / drug therapy*
  • Doxorubicin / administration & dosage
  • Doxorubicin / analogs & derivatives*
  • Doxorubicin / therapeutic use
  • Drug Administration Routes
  • Female
  • Humans
  • Infusions, Intra-Arterial
  • Injections, Intravenous
  • Magnetic Resonance Imaging
  • Methotrexate / administration & dosage*
  • Methotrexate / therapeutic use
  • Neoplasm Invasiveness / diagnostic imaging
  • Organoplatinum Compounds / administration & dosage*
  • Organoplatinum Compounds / therapeutic use
  • Remission Induction / methods
  • Tomography, X-Ray Computed
  • Urinary Bladder Neoplasms / diagnostic imaging
  • Urinary Bladder Neoplasms / drug therapy*
  • Vincristine / administration & dosage*
  • Vincristine / therapeutic use

Substances

  • Organoplatinum Compounds
  • Vincristine
  • Doxorubicin
  • nedaplatin
  • pirarubicin
  • Methotrexate