4.7 Article

Quality of Pathologic Response and Surgery Correlate With Survival for Patients With Completely Resected Bladder Cancer After Neoadjuvant Chemotherapy

Journal

CANCER
Volume 115, Issue 18, Pages 4104-4109

Publisher

WILEY
DOI: 10.1002/cncr.24466

Keywords

neoadjuvant chemotherapy; bladder cancer; pathologic complete response; overall survival

Categories

Funding

  1. National Cancer Institute, Department of Health and Human Services [CA32102, CA38926, CA21115, CA35421, CA46441, CA22433, CA42777, CA58861, CA59416, CA46282, CA27057, CA14028, CA46113, CA20319, CA46136, CA45377, CA128567, CA45560, CA35431, CA32734, CA35261, CA35090, CA16385, CA58882, CA76447, CA46368, CA68183, CA28862, CA58415, CA35281, CA63844, CA35192]
  2. Pfizer
  3. Eli Lilly
  4. Bristol-Myers Squibb
  5. AstraZeneca
  6. Novartis
  7. Celgene
  8. Cytogen

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BACKGROUND: In a retrospective study of Southwestern Oncology Group (SWOG)-S8710/INT-0080 (radical cystectomy [RC] alone vs 3 cycles of neoadjuvant chemotherapy [NC] with methotrexate, vinblastine, doxorubicin, and cisplatin before RC for bladder cancer), factors found to be associated with improved overall survival (OS) included pathologic complete response, defined as PO: treatment with NC; completion of RC with negative surgical margins; and >= 10 pelvic lymph nodes (LNs) removed, METHODS: The authors used stratified Cox regression to retrospectively study the association of quality of pathologic response after RC with OS in the subset of S8710 patients who received NC and RC with negative surgical margins. RESULTS: Of 154 patients who received NC, 68 (44.2%) were

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