Metastasectomy Improves Survival in Patients with Metastatic Urothelial Carcinoma.

Abstract:

:Metastatic urothelial carcinoma is one of the most fatal urological malignancies. Cisplatin-based systemic chemotherapy is the standard treatment for metastatic urothelial carcinoma, and there is little evidence to support metastasectomy. The aims of the study were to evaluate the efficacy of metastasectomy and to investigate the prognoses of the patients. The study included 436 patients with urothelial carcinoma who were treated at our hospital. Of these, we included and retrospectively analyzed 29 patients who received curative treatment for the primary tumor and had been treated for metastases. Seven of these patients underwent metastasectomy. In a multivariate analysis, a serum C-reactive protein level before treatment for metastasis of <1 mg/dl and metastasectomy were independent significant predictors of both better progression-free survival and better overall survival. Metastasectomy may be considered a potential treatment for patients with metastases from urothelial carcinoma.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Iwamoto H,Izumi K,Shimura Y,Natsagdorj A,Maolake A,Takezawa Y,Nohara T,Shigehara K,Kadono Y,Mizokami A

doi

10.21873/anticanres.11140

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

5557-5561

issue

10

eissn

0250-7005

issn

1791-7530

pii

36/10/5557

journal_volume

36

pub_type

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