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Updated: May 12, 2026

Endobronchial Ultrasound-guided Intratumoral Injection of Cisplatin for the Treatment of Isolated Mediastinal Recurrence of Lung Cancer
Published on: February 12, 2017
[Intravesical chemotherapy]
1UO Complessa di Urologia Istituto di Clinica Urologica Luciano Giuliani, IRCCS Azienda Osp. Universitaria San Martino - IST, Genova - Italy. antoniocurotto@gmail.com
Bladder cancer treatment costs are rising, necessitating a focus on high-risk patients. Rationalizing intravesical therapies and perioperative chemotherapy is crucial for cost-effectiveness in bladder cancer care.
Area of Science:
- Urology
- Oncology
- Health Economics
Context:
- Bladder cancer incidence and treatment costs are increasing.
- Therapeutic advances in bladder cancer care have escalated expenses for all stakeholders.
- Intravesical treatment for non-muscle invasive bladder tumors is a significant cost driver.
Purpose:
- To critically evaluate current bladder cancer treatment strategies.
- To emphasize the need for rationalizing therapeutic schedules.
- To redirect research focus towards high-risk bladder cancer.
Summary:
- This perspective critically examines gemcitabine use, the cost-effectiveness of perioperative chemotherapy in high-risk patients, and the optimization of intravesical treatments.
- It highlights the financial burden of bladder cancer care and the need for strategic resource allocation.
- The authors advocate for focusing research on high-risk bladder cancers due to their recurrence and progression potential.
Impact:
- Provides critical insights into optimizing bladder cancer treatment costs.
- Guides healthcare providers and payers in making informed decisions regarding therapeutic interventions.
- Encourages a shift in research priorities towards managing aggressive bladder cancer subtypes effectively.
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