Urologic Oncology-seminars and Original Investigations最新文献

筛选
英文 中文
Comparison of cardiovascular events in patients with metastatic hormone sensitive prostate cancer treated with LHRH agonists to LHRH antagonists in the US: A retrospective cohort study. 美国LHRH激动剂与LHRH拮抗剂治疗转移激素敏感前列腺癌患者心血管事件的比较:一项回顾性队列研究
IF 2.8 3区 医学
Urologic Oncology-seminars and Original Investigations Pub Date : 2026-10-18 DOI: 10.1016/j.urolonc.2026.09.012
Renil S Titus, Eusebio Luna Velasquez, Vatsala Mundra, Carlos Riveros, Sanjana Ranganathan, David-Dan Nguyen, Amar Singh, Aamuktha Porika, Dharam Kaushik, Kershaw V Patel, Eleni Efstathiou, Christopher J D Wallis, Raj Satkunasivam
{"title":"Comparison of cardiovascular events in patients with metastatic hormone sensitive prostate cancer treated with LHRH agonists to LHRH antagonists in the US: A retrospective cohort study.","authors":"Renil S Titus, Eusebio Luna Velasquez, Vatsala Mundra, Carlos Riveros, Sanjana Ranganathan, David-Dan Nguyen, Amar Singh, Aamuktha Porika, Dharam Kaushik, Kershaw V Patel, Eleni Efstathiou, Christopher J D Wallis, Raj Satkunasivam","doi":"10.1016/j.urolonc.2026.09.012","DOIUrl":"https://doi.org/10.1016/j.urolonc.2026.09.012","url":null,"abstract":"<p><strong>Purpose: </strong>Androgen deprivation therapy (ADT) is standard treatment for metastatic hormone-sensitive prostate cancer (mHSCaP). Patients receive LHRH-agonists (LHRH-AG: leuprolide, goserelin or triptorelin) or LHRH-antagonists (LHRH-AN: degarelix or relugolix) with intensification with androgen receptor pathway inhibitors, with or without chemotherapy. Given ongoing concerns about cardiovascular risk, we used real-world data from TriNetX to compare the incidence of major adverse cardiovascular events (MACE) between patients receiving LHRH-AG vs. LHRH-AN.</p><p><strong>Materials and methods: </strong>We included adult patients with mHSCaP who received either an LHRH-AG or LHRH-AN. The composite primary outcome was MACE (defined as myocardial infarction (MI), stroke, or all-cause mortality). Secondary outcomes were MI, stroke, and all-cause mortality. Patients were 1:1 propensity-score matched (PSM). Kaplan-Meier analysis reporting hazard ratios (HR) and 95% confidence intervals (CI) for the outcomes was conducted. We conducted a subgroup analysis to assess the effect of intensification of therapy. Exploratory analyses were conducted to assess HR of outcomes and new-onset metabolic comorbidities (diabetes mellitus, insulin use, hypertension, and dyslipidemia) amongst patients without cardiovascular risk factors.</p><p><strong>Results: </strong>Before PSM, there were 27,051 in LHRH-AG and 3,339 in LHRH-AN cohorts. After PSM, 3,329 patients in each cohort were compared. Compared to LHRH-AN, LHRH-AG was associated with a decreased risk of MACE (hazard ratio [HR] = 0.86, 95% CI: 0.79-0.93), MI (HR = 0.80, 95% CI: 0.66-0.97), and any-cause mortality (HR = 0.85, 95% CI: 0.78-0.93). Treatment intensification did not modify the association between MACE outcomes and LHRH-AG vs. LHRH-AN.</p><p><strong>Conclusions: </strong>Using real-world data, LHRH-AG was associated with a decreased risk of experiencing MACE. Among those undergoing intensification of therapy, there was no difference in MACE risk associated with LHRH-AG vs. LHRH-AN.</p>","PeriodicalId":23408,"journal":{"name":"Urologic Oncology-seminars and Original Investigations","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Incidence and predictors of prolonged opioid use following nephrectomy for renal cell carcinoma: A national claims-based study. 肾细胞癌切除术后阿片类药物长期使用的发生率和预测因素:一项基于索赔的国家研究。
IF 2.8 3区 医学
Urologic Oncology-seminars and Original Investigations Pub Date : 2026-10-17 DOI: 10.1016/j.urolonc.2026.09.014
Baris Esen, Reza Lahiji, Dattatraya Patil, William Luke, Susan Mumford, Kelsey R Landrum, Lorenzo Storino Ramacciotti, Reza Nabavizadeh, Mohammad Hajiha, Valentina Grajales, Shreyas S Joshi, Vikram M Narayan, Kenneth Ogan, Viraj A Master
{"title":"Incidence and predictors of prolonged opioid use following nephrectomy for renal cell carcinoma: A national claims-based study.","authors":"Baris Esen, Reza Lahiji, Dattatraya Patil, William Luke, Susan Mumford, Kelsey R Landrum, Lorenzo Storino Ramacciotti, Reza Nabavizadeh, Mohammad Hajiha, Valentina Grajales, Shreyas S Joshi, Vikram M Narayan, Kenneth Ogan, Viraj A Master","doi":"10.1016/j.urolonc.2026.09.014","DOIUrl":"https://doi.org/10.1016/j.urolonc.2026.09.014","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the incidence rates and risk factors of prolonged opioid use following nephrectomy for non-metastatic renal cell carcinoma (RCC) using a large national insurance database.</p><p><strong>Methods: </strong>Marketscan Commercial Claims and Encounters (MCCD) and Medicare Supplemental (MSD) databases were utilized to identify adult patients who underwent nephrectomy for RCC between 2009 and 2023. Patients with prior malignancy, metastatic disease during or within 12 months after surgery, inadequate insurance coverage, missing data, and opioid use within 90 days before surgery were excluded. The cumulative incidence of prolonged opioid use (≥2 prescriptions or ≥60 days of use between postoperative days 90-365) was determined. Multivariable logistic regression analyzed factors independently associated with prolonged opioid use.</p><p><strong>Results: </strong>10,098 patients from the MCCD and 2,980 from MSD were included. About 78% and 65% of patients received opioids during their early postoperative period in the MCCD and MSD databases, respectively. Prolonged opioid use occurred in 8.2% (MCCD) and 9.4% (MSD) of cases. Across both cohorts, higher comorbidity burden, geographic regions, certain insurance types, and greater early postoperative opioid use were independently associated with prolonged opioid use. In the MCCD cohort, female sex, non-metropolitan residence, and early postoperative emergency department visits were additionally associated with prolonged opioid use. Surgical type and operative approach were not significantly associated with the outcome in either cohort.</p><p><strong>Conclusion: </strong>Almost one in ten patients develops prolonged opioid use following nephrectomy for RCC. Early postoperative opioid exposure appeared strongly associated with prolonged opioid use, demonstrating a clear-dose response relationship. These findings support opioid-sparing strategies and the implementation of perioperative opioid stewardship programs to reduce prolonged opioid use in patients undergoing surgery for non-metastatic RCC.</p>","PeriodicalId":23408,"journal":{"name":"Urologic Oncology-seminars and Original Investigations","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Restricted mean survival time-based network meta-analysis of first-line therapies for metastatic clear cell renal cell carcinoma. 转移性透明细胞肾细胞癌一线治疗的限制性平均生存期网络meta分析。
IF 2.8 3区 医学
Urologic Oncology-seminars and Original Investigations Pub Date : 2026-10-17 DOI: 10.1016/j.urolonc.2026.09.015
Joseph McGrath, Kevin Johnson, Nizar Hakam, Arjun Venkatesh, Yudai Ishiyama, Thomas Metzner, K C Balaji
{"title":"Restricted mean survival time-based network meta-analysis of first-line therapies for metastatic clear cell renal cell carcinoma.","authors":"Joseph McGrath, Kevin Johnson, Nizar Hakam, Arjun Venkatesh, Yudai Ishiyama, Thomas Metzner, K C Balaji","doi":"10.1016/j.urolonc.2026.09.015","DOIUrl":"https://doi.org/10.1016/j.urolonc.2026.09.015","url":null,"abstract":"<p><p>To compare hazard ratio (HR)- and difference in restricted mean survival time (dRMST)-based network meta-analyses of first-line immune checkpoint inhibitor-based regimens for metastatic clear-cell renal cell carcinoma. We also introduce a RMST-based framework contextualizing survival benefit alongside toxicity, corticosteroid burden, and drug-acquisition cost. Five phase III trials comparing ICI-based combinations with sunitinib in mccRCC were included. Published trial-level HRs informed HR-based NMAs, while reconstructed individual patient data were used to estimate dRMST for OS at 40 to 64 months and PFS at 24 to 48 months. Frequentist common-effect models were used. Ranking concordance was assessed descriptively. Grade ≥3 treatment-related adverse events (TRAEs), high-dose corticosteroid use, and incremental drug-acquisition cost were evaluated relative to RMST-months gained. All regimens significantly improved dRMST vs. sunitinib for OS and PFS, except avelumab plus axitinib and nivolumab plus ipilimumab, respectively. For OS, nivolumab plus ipilimumab ranked first by HR, whereas nivolumab plus cabozantinib ranked first at every dRMST horizon. Lenvatinib plus pembrolizumab ranked first for PFS under both approaches. HR-dRMST concordance was greater in PFS across horizons, and concordance increased over time for both endpoints. dRMST provided clearer temporal separation and distinguished early vs. later accumulation of benefit. Nivolumab plus ipilimumab had the lowest grade ≥3 TRAE risk and the lowest drug-acquisition cost per RMST-month gained. RMST-based NMA yielded treatment rankings largely concordant to HR-based analysis while providing clearer distinction between regimens. These findings highlight the clinical value of RMST for integrating efficacy with toxicity, corticosteroid burden, and cost in treatment decision-making.</p>","PeriodicalId":23408,"journal":{"name":"Urologic Oncology-seminars and Original Investigations","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Project international Delphi consensus recommendations for perioperative management of inguinal lymphadenectomy in cancer patients. 国际德尔福项目对肿瘤患者腹股沟淋巴结切除术围手术期管理的共识建议。
IF 2.8 3区 医学
Urologic Oncology-seminars and Original Investigations Pub Date : 2026-10-16 DOI: 10.1016/j.urolonc.2026.09.018
Nahuel Paesano, Luis G Medina, Marcos Tobias-Machado, Jeremy Yuen-Chun Teoh, Amandeep Arora, Gagan Prakash, René Sotelo, Philippe E Spiess
{"title":"Project international Delphi consensus recommendations for perioperative management of inguinal lymphadenectomy in cancer patients.","authors":"Nahuel Paesano, Luis G Medina, Marcos Tobias-Machado, Jeremy Yuen-Chun Teoh, Amandeep Arora, Gagan Prakash, René Sotelo, Philippe E Spiess","doi":"10.1016/j.urolonc.2026.09.018","DOIUrl":"https://doi.org/10.1016/j.urolonc.2026.09.018","url":null,"abstract":"<p><strong>Objective: </strong>To establish international expert consensus on perioperative strategies for the prevention, management, and follow-up of complications related to inguinal lymph node dissection.</p><p><strong>Methods: </strong>This international modified Delphi consensus study was conducted between September 2025 and March 2026 using a 2-round electronic survey. A total of 101 experts from 25 countries participated, including urologists, surgical oncologists, plastic surgeons, and other specialists with experience in ILND for penile cancer, melanoma, and vulvar cancer. Eighty-six clinical statements addressing ILND-associated complications were evaluated across 6 domains: preoperative nutritional optimization, anemia management, lymphatic complications, infectious and cutaneous complications, vascular and musculoskeletal complications, and functional rehabilitation. Agreement was assessed using a 5-point Likert scale, with consensus defined a priori as at least 70% of participants selecting \"somewhat agree\" or \"strongly agree.\"</p><p><strong>Results: </strong>Consensus was achieved for 51 of 86 statements. Agreed recommendations supported standardized approaches to preoperative nutritional assessment and anemia correction, prevention and management of lymphatic complications, drain placement and management, discharge criteria, antibiotic prophylaxis, wound complication management, thromboprophylaxis, multimodal analgesia, and early functional rehabilitation. No consensus was reached regarding routine use of immunonutrition, optimal duration of antibiotic therapy, topical treatments, muscle relaxants, or hyperbaric oxygen therapy.</p><p><strong>Conclusions: </strong>This international Delphi process generated consensus-based, multidisciplinary recommendations to guide perioperative ILND management. These statements may provide a structured framework to support greater standardization of perioperative care pathways across malignancies requiring ILND, reduce morbidity, and inform quality-improvement initiatives. Prospective validation is required to evaluate their clinical impact and refine areas of ongoing uncertainty.</p>","PeriodicalId":23408,"journal":{"name":"Urologic Oncology-seminars and Original Investigations","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149208165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prospectively collected functional vs. self-reported frailty measures and postoperative outcomes after radical cystectomy in older adults with bladder cancer. 前瞻性收集的老年膀胱癌根治性膀胱切除术后功能与自我报告的虚弱测量和术后结果
IF 2.8 3区 医学
Urologic Oncology-seminars and Original Investigations Pub Date : 2026-10-16 DOI: 10.1016/j.urolonc.2026.09.010
Jordan Sheldon, Sarah Holt, Elena Brewer, John L Gore, Jose M Garcia, May Reed, Itay Bentov, Donna Berry, Viraj A Master, Matthew P Kirschenbaum, Marielle Yano, Grace Jun, Casey Li, Sarah P Psutka
{"title":"Prospectively collected functional vs. self-reported frailty measures and postoperative outcomes after radical cystectomy in older adults with bladder cancer.","authors":"Jordan Sheldon, Sarah Holt, Elena Brewer, John L Gore, Jose M Garcia, May Reed, Itay Bentov, Donna Berry, Viraj A Master, Matthew P Kirschenbaum, Marielle Yano, Grace Jun, Casey Li, Sarah P Psutka","doi":"10.1016/j.urolonc.2026.09.010","DOIUrl":"10.1016/j.urolonc.2026.09.010","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>The optimal tools to measure frailty in patients with bladder cancer are poorly defined. Our objective was to compare baseline physical function with self-reported frailty assessments, and to evaluate associations between functional vs. self-reported frailty assessments and postoperative outcomes.</p><p><strong>Methods: </strong>Adults ≥65 years old with bladder cancer anticipating radical cystectomy (RC) were preoperatively assessed with the Short Physical Performance and Battery Assessment (SPPB): a physical assessment evaluating balance, gait speed, and lower extremity strength; and the Care and Aging Resilience Evaluation-Geriatric Assessment: a self-reported form which generates a validated frailty index (CARE-FI). Associations between the two frailty measures, postoperative length of stay (LOS), and 90-day grade ≥3 Clavien Dindo complications were assessed.</p><p><strong>Results: </strong>About 53 participants were analyzed. Overall, 3/53 were frail per the CARE-FI, while 1/53 demonstrated poor performance per SPPB criteria. CARE-FI and SPPB frailty categories were strongly associated on an ordinal scale (Kendall's τ-b = 0.88, P = 0.02), agreement between categorical classifications was limited (weighted κ = 0.02). Patients classified as frail or pre-frail by CARE-FI were more likely to experience extended length of stay (≥7 days; P = 0.008, chi-square) and had a longer continuous LOS (P = 0.0013, Wilcoxon rank-sum) and were also more likely to experience a grade ≥3 complication (P = 0.04, chi-square). The SPPB was not significantly associated with either variable per chi squared analysis (P > 0.05 for both).</p><p><strong>Conclusions: </strong>Functional and self-reported frailty assessments provide different information characterizing individual vulnerability profiles; however, only the CARE-FI was statistically associated with increased LOS and postoperative complications following RC.</p>","PeriodicalId":23408,"journal":{"name":"Urologic Oncology-seminars and Original Investigations","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparing patient-reported urinary and sexual bother and function after robotic-assisted radical prostatectomy. 比较机器人辅助根治性前列腺切除术后患者报告的泌尿和性功能问题。
IF 2.8 3区 医学
Urologic Oncology-seminars and Original Investigations Pub Date : 2026-10-15 DOI: 10.1016/j.urolonc.2026.09.013
Behnam Nabavizadeh, Judy Zhong, Bashir Al Hussein Al Awamlh, Jim C Hu
{"title":"Comparing patient-reported urinary and sexual bother and function after robotic-assisted radical prostatectomy.","authors":"Behnam Nabavizadeh, Judy Zhong, Bashir Al Hussein Al Awamlh, Jim C Hu","doi":"10.1016/j.urolonc.2026.09.013","DOIUrl":"https://doi.org/10.1016/j.urolonc.2026.09.013","url":null,"abstract":"<p><strong>Purpose: </strong>Functional recovery after robot-assisted radical prostatectomy (RARP) does not always align with patient-perceived bother. To evaluate urinary/sexual bother-function relationships and time to acceptable bother using the Expanded Prostate Cancer Index Composite for Clinical Practice (EPIC-CP).</p><p><strong>Materials and methods: </strong>We performed a retrospective cohort study of consecutive men undergoing RARP (April 2015-August 2025) who completed preoperative and ≥1 postoperative EPIC-CP assessment. The primary outcome was the strength of association between urinary function and urinary bother and between sexual function and sexual bother at 3, 12, and 24-months, quantified using Spearman correlation coefficients. Secondary outcomes included factors associated with urinary and sexual bother (multivariable linear regression) and time to acceptable bother (bother score≤1) estimated using Kaplan-Meier methods.</p><p><strong>Results: </strong>The cohort included 552 men (median age 65 [interquartile range 59-70] years). Urinary leakage frequency demonstrated moderate-to-high correlations with urinary bother at 3, 12, and 24-months (ρ = 0.71, 0.60, 0.77; all P < 0.001), and pad use demonstrated weaker correlation (ρ = 0.67, 0.57, 0.45; all P < 0.001). Erection quality demonstrated low-to-moderate correlations with sexual bother (ρ = 0.44, 0.46, 0.50; all P < 0.001). Pelvic fascia-sparing and increasing surgeon experience were associated with less early urinary bother, whereas sexual bother was associated with baseline sexual symptoms score and patient factors (age and BMI). Median time to acceptable urinary bother was 3.9-months, compared to 23.7-months for acceptable sexual bother (P < 0.001).</p><p><strong>Conclusions: </strong>Urinary bother correlates with urinary leakage frequency more than pad use, while sexual bother is less strongly related to erection quality and improves more slowly. Incorporating bother alongside function better reflects patient-centered recovery after RARP.</p>","PeriodicalId":23408,"journal":{"name":"Urologic Oncology-seminars and Original Investigations","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transitioning from template-based groin dissection to dynamic sentinel node biopsy in penile cancer: Prospective validation of a standardization step. 从基于模板的腹股沟解剖过渡到阴茎癌的动态前哨淋巴结活检:标准化步骤的前瞻性验证。
IF 2.8 3区 医学
Urologic Oncology-seminars and Original Investigations Pub Date : 2026-10-13 DOI: 10.1016/j.urolonc.2026.09.009
Gagan Prakash, Sarah Shaikh, Amandeep Arora, Mahendra Pal, Ankit Misra, Ajit Gujela, Ganesh Bakshi, Venkatesh Rangarajan, Archi Agrawal, Santosh Menon
{"title":"Transitioning from template-based groin dissection to dynamic sentinel node biopsy in penile cancer: Prospective validation of a standardization step.","authors":"Gagan Prakash, Sarah Shaikh, Amandeep Arora, Mahendra Pal, Ankit Misra, Ajit Gujela, Ganesh Bakshi, Venkatesh Rangarajan, Archi Agrawal, Santosh Menon","doi":"10.1016/j.urolonc.2026.09.009","DOIUrl":"https://doi.org/10.1016/j.urolonc.2026.09.009","url":null,"abstract":"<p><strong>Purpose: </strong>Dynamic sentinel lymph node biopsy (DSNB) offers accurate inguinal staging in clinically node-negative (cN0) penile cancer (PeCa), but implementation requires multidisciplinary expertise and standardization. We evaluated the feasibility and diagnostic accuracy of a standardized dual-tracer DSNB protocol during transition from modified/superficial inguinal lymph node dissection (MILD/SILD).</p><p><strong>Methods: </strong>In this prospective, non-randomized phase II study, 20 patients with intermediate- or high-risk cN0 PeCa underwent DSNB followed by MILD and SILD in both groins. DSNB used 99mTc-nanocolloid and indocyanine green (ICG). Sentinel nodes were identified using lymphoscintigraphy/SPECT-CT, gamma-probe and near-infrared fluorescence, and assessed by frozen section. Final SILD pathology served as the reference standard for calculating the false-negative rate (FNR).</p><p><strong>Results: </strong>Forty groins were evaluated. DSNB successfully identified sentinel nodes in 37/40 (92.5%) groins; ICG identified nodes in 36 (90%) compared with 28 (70%) for 99mTc. Five groins contained metastatic sentinel nodes, all detected by DSNB, yielding 100% sensitivity and 0% FNR. In 4/37 (10.8%) successful procedures, sentinel nodes lay outside the MILD template. Median sentinel node yield was 4 versus 12 nodes with SILD. Median drain duration and hospital stay were 21 and 3 days, respectively. Eleven patients (55%) had no complications; grade 2 and 3a complications occurred in 20% and 25%, respectively. After median follow-up of 34 months, no inguinal nodal recurrences occurred.</p><p><strong>Conclusion: </strong>A standardized dual-tracer DSNB protocol was feasible and demonstrated high diagnostic accuracy during phased implementation at a tertiary cancer centre. Initial validation alongside template dissection may facilitate safe adoption, particularly in settings without centralized PeCa services.</p>","PeriodicalId":23408,"journal":{"name":"Urologic Oncology-seminars and Original Investigations","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Translational research models for variant subtype bladder cancers: A comprehensive review of the current landscape. 不同亚型膀胱癌的转化研究模型:对当前前景的全面回顾。
IF 2.8 3区 医学
Urologic Oncology-seminars and Original Investigations Pub Date : 2026-10-13 DOI: 10.1016/j.urolonc.2026.09.008
Gabriella U Nanjo, Zirui Fu, Shayan Smani, Soum D Lokeshwar, Joshua Warrick, Deepika Kumar, William Kim, Curtis J Perry, Wei Shen Tan, Ping Mu, Darryl T Martin, Fady Ghali
{"title":"Translational research models for variant subtype bladder cancers: A comprehensive review of the current landscape.","authors":"Gabriella U Nanjo, Zirui Fu, Shayan Smani, Soum D Lokeshwar, Joshua Warrick, Deepika Kumar, William Kim, Curtis J Perry, Wei Shen Tan, Ping Mu, Darryl T Martin, Fady Ghali","doi":"10.1016/j.urolonc.2026.09.008","DOIUrl":"10.1016/j.urolonc.2026.09.008","url":null,"abstract":"<p><p>Bladder cancer remains a leading cause of cancer-related mortality in the United States, with most cases classified as conventional urothelial carcinoma. However, a substantial subset of patients presents with aggressive variant histologies, including sarcomatoid, plasmacytoid, and micropapillary subtypes. These variants are associated with early dissemination, treatment resistance, and limited evidence to guide subtype specific management. Despite their clinical relevance, progress in mechanistic understanding and therapeutic development has been hindered due to rarity, underrepresentation in clinical trials, and a research focus on conventional disease. A key impediment is the lack of translational model systems that maintain variant defining morphology, lineage programs, and tumor microenvironmental interactions. Recent advances in translational modeling technologies now provide new opportunities to interrogate the unique biology of variant subtype bladder cancers. In this review, we highlight key preclinical models commonly used in bladder cancer research, including patient-derived xenografts, humanized models, syngeneic systems, genetically engineered mouse models, organoids, and ex vivo explants, and highlight emerging applications in variant histologies. We also discuss innovative and integrative platforms, including hybrid experimental systems and computational approaches, that are beginning to overcome barriers imposed by tumor rarity and heterogeneity. Collectively, these evolving model systems will enable more faithful representation of variant subtype biology, tumor-microenvironment interactions, and therapeutic vulnerabilities, and provide a framework for developing subtype-specific, precision treatment strategies.</p>","PeriodicalId":23408,"journal":{"name":"Urologic Oncology-seminars and Original Investigations","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Response to "Calendar-time bias in a TriNetX study of GLP-1 receptor agonists, SGLT2 inhibitors and bladder cancer survival". 对“GLP-1受体激动剂、SGLT2抑制剂和膀胱癌生存的TriNetX研究中的日历时间偏差”的回应。
IF 2.8 3区 医学
Urologic Oncology-seminars and Original Investigations Pub Date : 2026-10-13 DOI: 10.1016/j.urolonc.2026.09.016
Jakob Kohler, Severin Rodler
{"title":"Response to \"Calendar-time bias in a TriNetX study of GLP-1 receptor agonists, SGLT2 inhibitors and bladder cancer survival\".","authors":"Jakob Kohler, Severin Rodler","doi":"10.1016/j.urolonc.2026.09.016","DOIUrl":"https://doi.org/10.1016/j.urolonc.2026.09.016","url":null,"abstract":"","PeriodicalId":23408,"journal":{"name":"Urologic Oncology-seminars and Original Investigations","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Retraction notice to "Association of genetic polymorphism of glutathione S-transferase (GSTM1, GSTT1, GSTP1) with bladder cancer susceptibility" [Urologic Oncology: Seminars and Original Investigations 31 (2013) 1193-1203]. “谷胱甘肽s -转移酶(GSTM1, GSTT1, GSTP1)遗传多态性与膀胱癌易感性的关系”[泌尿肿瘤学:研讨会和原始调查31(2013)1193-1203]。
IF 2.8 3区 医学
Urologic Oncology-seminars and Original Investigations Pub Date : 2026-10-12 DOI: 10.1016/j.urolonc.2026.08.008
Mohammad Reza Safarinejad, Saba Safarinejad, Nayyer Shafiei, Shiva Safarinejad
{"title":"Retraction notice to \"Association of genetic polymorphism of glutathione S-transferase (GSTM1, GSTT1, GSTP1) with bladder cancer susceptibility\" [Urologic Oncology: Seminars and Original Investigations 31 (2013) 1193-1203].","authors":"Mohammad Reza Safarinejad, Saba Safarinejad, Nayyer Shafiei, Shiva Safarinejad","doi":"10.1016/j.urolonc.2026.08.008","DOIUrl":"10.1016/j.urolonc.2026.08.008","url":null,"abstract":"","PeriodicalId":23408,"journal":{"name":"Urologic Oncology-seminars and Original Investigations","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信
小红书