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April 10, 1967

Radiotherapy of Bladder Tumors

Author Affiliations

Nashville, Tenn

JAMA. 1967;200(2):183. doi:10.1001/jama.1967.03120150139043

To the Editor:—  The conclusions of the recent preliminary communication, "Bladder Carcinoma: Combined Radiotherapy and Surgical Treatment," by DeWeerd and Colby (199:109, 1967) were that combined therapy is perhaps the logical initial treatment for cases of infiltrative bladder carcinoma. Certainly definitive treatment for invasive bladder tumor is often inordinately delayed, and the authors' recommendation for aggressive initial treatment is lauded.The possibilities of modern radiotherapy alone in the treatment of bladder cancer perhaps have been misrepresented in the presentation. One of the two recent references regarding radiotherapy quoted is a report by Sir Eric Riches, a urologist. The interested reader is referred to several pertinent publications1-7 which report results of radiotherapy alone to be as good as those by radical surgery with or without preoperative radiotherapy.Comparison of results of treatment by irradiation with results of cystectomy is often hazardous, particularly if the operative series are staged according