Chemotherapy indications: 1. metastatic bladder cancer; 2. pathology after radical bladder cancer shows positive lymph nodes; 3. pathology after radical bladder cancer shows PT 3-4; 4. positive cut edge after partial bladder resection; 5. neoadjuvant chemotherapy can be considered for patients with operable T2-T4a.
Second, chemotherapy regimen: First line: GC (gemcitabine + cisplatin) Second line: TC (paclitaxel + cisplatin) Third, precautions: 1, must carry out formal pretreatment; 2, if the patient has a reaction during chemotherapy, first do not stop chemotherapy completely, you can try to slow down the speed of chemotherapy, if the situation improves, you can continue to apply; 3, pay attention to record the patient’s 24-hour urine volume, urine volume should be greater than 2000ml; 4. Regular blood tests must be done after chemotherapy, mainly for white blood cells and platelets, as their low level can be life-threatening and should be dealt with in time after discovery; 5.