Print Get Citation Citation AMA Citation Ramjaun A. Ramjaun A Ramjaun, Aliya. "Quick Take: Accelerated hypofractionated radiation therapy for elderly frail bladder cancer patients unfit for surgery or chemotherapy." 2 Minute Medicine, 1 February 2019. McGraw-Hill, New York, NY, 2019. AccessMedicine. http://accessmedicine.mhmedical.com/updatesContent.aspx?gbosid=459715§ionid=209978201 MLA Citation Ramjaun A. Ramjaun A Ramjaun, Aliya.. "Quick Take: Accelerated hypofractionated radiation therapy for elderly frail bladder cancer patients unfit for surgery or chemotherapy." 2 Minute Medicine New York, NY: McGraw-Hill, 2019, http://accessmedicine.mhmedical.com/updatesContent.aspx?gbosid=459715§ionid=209978201. Download citation file: RIS (Zotero) EndNote BibTex Medlars ProCite RefWorks Reference Manager Mendeley © Copyright Clip Full Chapter Figures Only Tables Only Videos Only Supplementary Content Top Quick Take: Accelerated hypofractionated radiation therapy for elderly frail bladder cancer patients unfit for surgery or chemotherapy by Aliya Ramjaun Listen +Originally published by 2 Minute Medicine® (view original article). Reused on AccessMedicine with permission. +The standard of care for T2-T4aN0M0 muscle-invasive bladder cancer (MIBC) and high-risk non-MIBC in fit patients is radical cystectomy (RC). In patients unfit for RC, or in cases where bladder preservation is desired, trimodality therapy (TMT) incorporating maximal transurethral resection of bladder tumor (TURBT) and radiation therapy (RT) with concurrent chemotherapy (CMT) can be considered, with comparable efficacy in terms of overall cancer-specific and disease-free survival. As many elderly patients are not considered suitable surgical candidates, TMT is often considered in this patient population. However, these patients may also be unfit for chemo-radiation. Hypofractionation has been investigated as a strategy to increase the efficacy of radiation therapy in this patient population. The purpose of this cohort study was to assess the treatment outcomes of definitive image-guided accelerated hypofractionated radiation therapy in 17 elderly patients with MIBC not considered suitable candidates for surgery or TMT. All patients underwent TURBT, however, in 64.7% of patients this was concluded as incomplete due to deep tumor involvement of the bladder wall or wide area of spread. The median overall treatment time was 20 days, with no patients receiving neoadjuvant chemotherapy. Researchers found that complete local response at 3-month cystoscopy was 69%, where 6 patients (35%) developed a local recurrence, and 2 patients (11.7%) developed distant metastases. Overall survival at 1 year and 2 years were 85% and 63%, respectively. This study therefore shows that accelerated hypofractionated radiotherapy alone may provide good control in elderly patients unfit for combination chemotherapy and radiation. +Click to read the study in the American Journal of Clinical Oncology +©2019 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.