Use of Adjuvant Chemotherapy (ACT)

Lymph nodes are small organs that are part of the lymphatic system, a system in the body that transports a type of fluid called lymph throughout the body.

Platinum-based combination chemotherapy is not recommended for routine use but can be considered for patients whose cancer has spread to the lymph nodes.

Cisplatin is a drug that interferes with DNA replication and hence cancer cell growth. Cisplatin-based chemotherapy is not recommended for routine use, because there is limited clinical data and evidence on it. However, chemotherapy given along with surgical treatment should be considered in patients with high risk of relapse namely, patients whose cancer has spread beyond the bladder and/or to the lymph nodes. This is as such chemotherapy possible increases the length of time after treatment where no symptoms of cancer are found.