Editorial Comment

As surgeons our job is to intervene where the natural course of disease would lead to worsening illness, suffering and premature death, and observe patients who can be safely surveilled without intervention. Mazza et al present a retrospective series of 148 patients with muscle invasive bladder cancer who elected observation without radical cystectomy after a complete response to neoadjuvant chemotherapy. In a group of carefully selected patients from 2 high volume academic centers treated by 2 experienced surgeons the authors found overall 90% 5-year survival, which is on par with studies of patients who receive NAC with cystectomy.
Source: The Journal of Urology - Category: Urology & Nephrology Authors: Tags: Adult Urology Source Type: research