Regional Node-positive Bladder Cancer: Therapeutic Decisions Based on Trial Results in Perioperative and Advanced Disease Settings.
Optimal therapeutic management for cN1 M0 bladder cancer consists of perioperative systemic therapy and radical cystectomy.
APA
Pichler R, Subiela JD, et al. (2026). Regional Node-positive Bladder Cancer: Therapeutic Decisions Based on Trial Results in Perioperative and Advanced Disease Settings.. European urology, 89(4), 302-304. https://doi.org/10.1016/j.eururo.2026.01.013
MLA
Pichler R, et al.. "Regional Node-positive Bladder Cancer: Therapeutic Decisions Based on Trial Results in Perioperative and Advanced Disease Settings.." European urology, vol. 89, no. 4, 2026, pp. 302-304.
PMID
41558886
Abstract
Optimal therapeutic management for cN1 M0 bladder cancer consists of perioperative systemic therapy and radical cystectomy. For patients with cN2-3 M0 disease, evidence supports upfront systemic therapy, preferably with enfortumab vedotin + pembrolizumab. Consolidative locoregional therapy may be an option in selected responders. Questions remain regarding the optimal duration of systemic therapy and the role of biomarkers. Multidisciplinary expert opinion can be critical for informed shared decision-making.
MeSH Terms
Humans; Clinical Decision-Making; Cystectomy; Lymphatic Metastasis; Neoplasm Staging; Urinary Bladder Neoplasms