Table 1.
Characteristic | UC, NOS n = 1,722 |
Sarcomatoid histology n = 131 |
P |
---|---|---|---|
Age at surgery, years | 68 (61–75) | 68 (58–75) | 0.5 |
Male | 1,370 (80%) | 93 (71%) | 0.027 |
Neoadjuvant chemotherapy | 313 (18%) | 38 (29%)* | 0.003 |
Gemcitabine-cisplatin | 274 (88%) | 29 (76%) | |
MVAC | 13 (4%) | 3 (8%) | |
Other cisplatin-based regimen | 3 (1%) | 3 (8%) | |
Carboplatin-based regimen | 23 (7%) | 2 (5%) | |
Unknown | 0 | 1 (3%) | |
Neoadjuvant chemotherapy cycles | 0.3 | ||
≤3 | 54 (17%) | 3 (8%) | |
4 | 212 (68%) | 25 (66%) | |
≥5 | 30 (10%) | 4 (11%) | |
Unknown | 17 (5%) | 6 (16%) | |
Adjuvant chemotherapy | 126 (7.3%) | 9 (7.0%) | >0.9 |
Muscle-invasive bladder cancer** | 980 (59%) | 85 (65%) | 0.2 |
Consensus T stage | <0.001*** | ||
pTa | 41 (2.4%) | 0 (0%) | |
pTis | 108 (6.3%) | 0 (0%) | |
pT1 | 499 (29%) | 8 (6.1%) | |
pT2 | 548 (32%) | 39 (30%) | |
pT3 | 323 (19%) | 64 (49%) | |
pT4 | 203 (12%) | 20 (15%) | |
Lymph node involvement | 273 (17%) | 26 (21%) | 0.2 |
Positive margins | 63 (3.7%) | 7 (5.3%) | 0.3 |
Timing of sarcomatoid histology | |||
On TUR | 35 (27%) | ||
At cystectomy | 51 (39%) | ||
Both TUR and cystectomy | 45 (34%) |
This includes 25 patients with sarcomatoid differentiation identified at TUR and 13 patients who sarcomatoid differentiation identified only in the cystectomy specimen
Clinical stage at time of treatment.
For consensus T stage, the data are presented for all stages, but when comparing consensus T stage between patients with and without sarcomatoid histology, the pTa, pTis and pT1 groups were combined, and a chi-squared test was used.