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Faculty Information
CME Activity Chair
Issue 1:
Dr. O'Donnell describes a case involving an elderly male patient with multifocal carcinoma in situ of the bladder who has failed an intravesical Bacillus Calmette-Guérin (BCG) treatment program. Because of co-morbid conditions, the patient is at high risk for surgical complications. This case examines the treatment options, such as combination low-dose BCG plus interferon alfa, that are available for patients who require further treatment but are poor surgical candidates.
Michael A. O'Donnell, MD
Associate Professor and
 Director of Urologic Oncology
Department of Urology
University of Iowa
Iowa City, IA
Contributing Faculty
Issue 2:
The case study in Issue 2 describes a young male patient with multifocal, recurrent, low- to intermediate-grade bladder cancer who has failed multiple courses of different therapies, including chemotherapy and BCG therapy. In the accompanying discussion, Dr. Gomella will outline the available treatment options for patients who are not at imminent risk for bladder cancer progression.
Leonard G. Gomella, MD
Bernard W. Godwin
 Associate Professor of
 Prostate Cancer
Director of Urologic Oncology
Kimmel Cancer Center
Thomas Jefferson University
Philadelphia, PA
Issue 3:
The case study in Issue 3 describes a patient with recurrent low-grade Ta bladder cancer that progresses to several papillary tumors. The patient develops significant cystitis with chemotherapy, and thus other therapies are needed. This case and the accompanying discussion by Dr. Cohen examine treatments, such as interferon alfa monotherapy, that are effective options for patients unable to tolerate first-line therapies.
Steven I. Cohen, MD
Asst. Clinical Professor
 of Urology
Brown University School
 of Medicine
Providence, RI
Boston University School
 of Medicine
Boston, MA
Issue 4:
Dr. Lamm discusses a case involving a treatment-naive patient with T1 grade 3 bladder cancer. He examines the choice between immediate radical surgery or local surgery followed by a BCG-containing treatment regimen or combination therapy with low-dose BCG plus interferon alfa.
Donald L. Lamm, MD
Professor and Chair
Department of Urology
West Virginia University
Morgantown, WV

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