Is it Time to Consider Eliminating Surgery from the Treatment of Locally Advanced Bladder Cancer?

Necchi, Andrea; Marandino, Laura; Raggi, Daniele; Bandini, Marco; Gallina, Andrea; Moschini, Marco; Briganti, Alberto; Montorsi, Francesco · Eur Urol · 2021

editorial · Level V

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Abstract

The similar clinical behavior, overlapping therapeutic patterns, and several clinical trials addressing the neoadjuvant and first-line therapy settings for bladder cancer support the call for a more uniform definition of "locally advanced" disease. We highlight the diverse therapeutic opportunities that patients with locally advanced bladder cancer may receive at present. Multimodal management, and post-therapy surgery in particular, may still have a role in selected patients.

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