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. Author manuscript; available in PMC: 2021 Jun 4.
Published in final edited form as: Eur Urol. 2017 Nov 7;73(4):543–557. doi: 10.1016/j.eururo.2017.09.030

Table 2 –

Studies reporting the outcomes of patients after aborted radical cystectomy for intraoperative findings of grossly enlarged lymph nodes and locally advanced tumor

Reference No. of cases Findings PLND at time of aborted RC Chemotherapy after aborted RC Median follow-up (mo) Survival Comment
Guzzo et al [21] 35 Grossly enlarged
LNs: 91%
pT4:23%
31 30 18.5 60% died from the disease
31% alive with evidence of disease persistence or re-progression.
9% alive with no evidence of disease
Subsequent salvage RC: 23%. 43% had no evidence of disease progression at a mean time of 10 mo after salvage RC
Yafi et al [22] 31 Clinical T≥2: 45%
Clinical N1: 10%
Pathological T4b: 55
Pathological N2–3: 45%
20 23 10 2-yr OS: 41%
5-yr OS: 0%
Patients who underwent RPLND trended toward improved OS (24 vs 10 mo, p = 0.09)
35% received CHT with intention to surgical consolidation, only 9% rendered resectable

CHT = chemotherapy; LN = lymph node; OS = overall survival; PLND = pelvic lymph node dissection; RC = radical cystectomy.