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侵及肌层的膀胱癌患者中围手术期甲氨喋呤、长春花碱、阿霉素和顺铂 (Ｍ-ＶＡＣ)化疗可减少复发。本研究旨在评估化疗的益处是否与其对远处或盆腔转移的效果相关。作者回顾 1988～1994年 10 7例因侵及肌层的膀胱癌而行膀胱切除术患者的记录。确定预测复发的因素并以此将患者分
Perioperative methotrexate, vinblastine, doxorubicin and cisplatin (M-VAC) chemotherapy can reduce the recurrence of bladder cancer patients with invasive muscle. The aim of this study was to evaluate whether the benefit of chemotherapy is related to its effect on distant or pelvic metastases. The authors review the records of 107 patients undergoing cystectomy for invasion of the muscular bladder from 1988 to 1994. Determine the factors that predict recurrence and thus divide the patient