421 - FRADET.qxd

نویسندگان

  • Dominique Chopin
  • Yves FRADET
  • Valérie PICARD
  • Alain BERGERON
  • Hélène LaRUE
چکیده

Superficial transitional cell carcinomas (TCC) account for about 70% of all bladder cancers in North America and Europe [1]. Following surgery, these tumours recur in more than 60% of cases and up to 25% of recurrences become invasive. For more than 20 years, intravesical bacillus Calmette-Guérin (BCG) instillation has been used successfully to prevent recurrence and progression of superficial TCC after surgery, or for the treatment of carcinoma in situ. Nearly 50% of patients at high risk of recurrence remain free of disease after receiving BCG immunotherapy following surgery. This suggests that immunotherapeutic treatments targeting specific tumour-associated antigens might be more effective and associated with less morbidity than BCG. Bladder cancer thus offers a unique opportunity to develop cancer vaccines in an ideal setting of minimal tumour burden. However, the development of specific immunotherapy depends on the identification of relevant target antigens.

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تاریخ انتشار 2006