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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1994-3-14
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pubmed:abstractText |
Cis-platinum-based chemotherapy combinations have improved the outcome of patients with metastatic urothelial tumors, since two-thirds of these patients respond to treatment. Nevertheless, the majority of such patients have relapse within a median of 12 months. To define the pattern of failure and subsequent outcome, we retrospectively assessed 58 consecutive patients with relapse after prior response to cis-platinum-based combination chemotherapy. Of the patients who presented initially with local-regional metastases, 74% had relapse with involvement of a similar site, while only 26% of these patients had visceral metastases at relapse. The median survival after relapse was 9 months, and parameters associated with longer survival were local-regional relapse (10.7 months) and response to salvage chemotherapy (12.6 months). These data suggest that select patients with urothelial tumors and local-regional metastases may benefit from consolidation therapy with surgery or radiotherapy after maximum response to chemotherapy.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0022-5347
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
151
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
598-600; discussion 600-1
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8308966-Adult,
pubmed-meshheading:8308966-Aged,
pubmed-meshheading:8308966-Aged, 80 and over,
pubmed-meshheading:8308966-Carcinoma, Transitional Cell,
pubmed-meshheading:8308966-Cisplatin,
pubmed-meshheading:8308966-Female,
pubmed-meshheading:8308966-Humans,
pubmed-meshheading:8308966-Male,
pubmed-meshheading:8308966-Middle Aged,
pubmed-meshheading:8308966-Neoplasm Recurrence, Local,
pubmed-meshheading:8308966-Prognosis,
pubmed-meshheading:8308966-Retrospective Studies,
pubmed-meshheading:8308966-Survival Rate,
pubmed-meshheading:8308966-Treatment Failure,
pubmed-meshheading:8308966-Urinary Bladder Neoplasms
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pubmed:year |
1994
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pubmed:articleTitle |
Pattern of failure and survival of patients with metastatic urothelial tumors relapsing after cis-platinum-based chemotherapy.
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pubmed:affiliation |
Department of Genitourinary Oncology, University of Texas M. D. Anderson Cancer Center, Houston.
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pubmed:publicationType |
Journal Article
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