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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1992-10-29
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pubmed:abstractText |
Bacillus Calmette-Guérin (BCG) is the most effective intravesical therapy of carcinoma in situ of the urinary bladder. Six, weekly instillations of BCG result in a complete remission in about 70-80% of patients. The optimal dose however has still to be defined, and the value of maintenance therapy is also a matter of debate. Recurrent tumours after complete remission occur mainly in the distal ureter and prostatic urethra. In these patients, cystectomy may be required. In about 60-80% of patients, local (e.g. cystitis) and/or systemic (e.g. fever, malaise) side effects are observed. The occurrence of cystitis is associated with the number of instillations, BCG dose and a positive skin test. Systemic side effects are connected with pre-existing dysuria or bacterial cystitis and with traumatic catheterization. Severe toxicity occurs in about 5% of the patients. Prognostic parameters indicating complete remission have yet to be determined, but there is evidence that cytokines detected in the urine and immune-cell infiltration into the bladder wall revealed by immunohistochemistry, can be of value in this respect.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0302-2838
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
21 Suppl 2
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
30-4
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1396945-BCG Vaccine,
pubmed-meshheading:1396945-Carcinoma in Situ,
pubmed-meshheading:1396945-Doxorubicin,
pubmed-meshheading:1396945-Drug Administration Schedule,
pubmed-meshheading:1396945-Humans,
pubmed-meshheading:1396945-Neoplasm Recurrence, Local,
pubmed-meshheading:1396945-Urinary Bladder Neoplasms
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pubmed:year |
1992
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pubmed:articleTitle |
BCG for carcinoma in situ.
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pubmed:affiliation |
Department of Urology, RWTH Aachen, FRG.
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pubmed:publicationType |
Journal Article,
Comparative Study
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