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Bladder cancer

Knockout of extended pelvic lymph node dissection during radical cystectomy

Results from the SWOG S1011 and LEA trials show that extended pelvic lymph node dissection during radical cystectomy for muscle-invasive bladder cancer offers no survival benefit. Novel perioperative systemic therapies could lead to true survival improvement for patients with muscle-invasive bladder cancer undergoing radical surgery and have the potential to implement bladder-preserving strategies.

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Correspondence to Shahrokh F. Shariat.

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Gust, K.M., Shariat, S.F. Knockout of extended pelvic lymph node dissection during radical cystectomy. Nat Rev Urol 22, 795–796 (2025). https://doi.org/10.1038/s41585-025-01029-3

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