A 50-year-old male presents with hematuria. He is diagnosed of having bladder cancer which extends muscle deep. The best treatment:: (A) Intra vesical chemotherapy, (B) Neoadjuvant chemotherapy followed by radical cystectomy, (C) Radiotherapy, (D) Transurethral resection
Answer is B. Ans. (b) Neoadjuvant chemotherapy followed by radical cystectomyRef: Bailey 26th Edition, Page 1335* Neoadjuvant chemotherapy improves survival by about 5 -7 %. Radical cystectomy is the standard treatment for muscle invasive bladder cancer.