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The promise and challenges of neoadjuvant immunotherapy in the management of non‐metastatic muscle‐invasive bladder cancer

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Current guidelines strongly recommend the utilization of cisplatin-based neoadjuvant chemotherapy (NAC) for patients with muscle-invasive bladder cancer (MIBC) [1]. However, neoadjuvant systemic therapy is still underutilized due to cisplatin-ineligibility of… Click to show full abstract

Current guidelines strongly recommend the utilization of cisplatin-based neoadjuvant chemotherapy (NAC) for patients with muscle-invasive bladder cancer (MIBC) [1]. However, neoadjuvant systemic therapy is still underutilized due to cisplatin-ineligibility of approximately half of the patients, fear of prohibitive adverse events and/or delay of therapy in non-responders. NAC has, nonetheless, many potential benefits in the management of non-metastatic MIBC.

Keywords: bladder cancer; invasive bladder; muscle invasive; management non; non metastatic

Journal Title: BJU International
Year Published: 2020

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