The object of immunotherapy is the elemination of tumor cells mediated
by modulation of the immune system. This can be achieved by different
mechanisms, i.e. cell-mediated and humorally mediated immune reaction
s. Immunotherapy can be classified as passive, adoptive, active and no
n-conventional. Most clinical experience has been gathered with unspec
ific active immunotherapy. Superficial bladder carcinomas can be treat
ed by intravesical application of Bacillus Calmette-Guerin (BCG) or of
different cytokines, i.e., interferons or interleukin-2. Since there
has not so far been any standard immunotherapy for superficial bladder
carcinoma, the efficacy of therapy with cytokines should be evaluated
in clinical studies (phase II/III) only.