Abstract

As mentioned in the comment, the efficacy of neoadjuvant chemotherapy (NAC) in the treatment of urothelial carcinoma has been the therapy of choice since Grossman et al in 2003 demonstrated a significant benefit in overall survival in downstaged patients with NAC followed by cystectomy compared to cystectomy alone for muscle-invasive bladder cancer.1 However, prior literature has delineated significant differences in treatment effects between urothelial cancer of the bladder compared to upper tract urothelial cancer (UTUC).

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