Dose-dense MVAC chemotherapy for urothelial carcinoma

Keyword: ddMVAC [Dose-dense MVAC chemotherapy for urothelial carcinoma - UpToDate](https://www.uptodate.com/contents/image?imageKey=ONC%2F111814&topicKey=ONC%2F3000&source=see link)

durg:

  • methotrexate
  • vinblastine
  • doxorubicin
  • cisplatin

Pretreatment considerations:

  • 吐: 高
  • vesicant/irritant properties
  • Infection prophylaxis: 高 G-CSF: 240mcg/m2 SC daily on d4-d10

Monitor Parameters:

CBC/Electrolytes/Neurologic/3rd space fluid collection/LVEF

  • hearing loss of cisplatin