Emostatic-palliative radiotherapy in vescical carcinoma: two case reports

Abstract

Abstract. Introduction: Palliative radiotherapy is very effective for symptoms control and it improves the quality of life of patients with neoplasia at any stage of the disease. The 5% of palliative radiotherapy treatments are carried out for hemostatic purposes and this approach is particularly useful in certain diseases. In fact in bladder cancer this treatment is able to control bleeding in more than 90% of cases. Case description: We report two cases of old patients with urothelial carcinoma and macrohematuria, initially treated, for the fist time, with 20 Gy on the whole bladder obtainig completely resolution of hematuria. Afterwards, for new haematuria appearance, the patients were treated again with 15 Gy targeted on the progression region, obtaining resolution of bleeding again. Conclusion: although a haemostatic approach does not give lasting results over time, a reprocessing should be considered due to the improvement in the quality of life that it may entail.