TY - JOUR T1 - Metastasectomy Improves Survival in Patients with Metastatic Urothelial Carcinoma JF - Anticancer Research JO - Anticancer Res SP - 5557 LP - 5561 VL - 36 IS - 10 AU - HIROAKI IWAMOTO AU - KOUJI IZUMI AU - YUSUKE SHIMURA AU - ARIUNBOLD NATSAGDORJ AU - AERKEN MAOLAKE AU - YUTA TAKEZAWA AU - TAKAHIRO NOHARA AU - KAZUYOSHI SHIGEHARA AU - YOSHIFUMI KADONO AU - ATSUSHI MIZOKAMI Y1 - 2016/10/01 UR - http://ar.iiarjournals.org/content/36/10/5557.abstract N2 - Metastatic urothelial carcinoma is one of the most fatal urological malignancies. Cisplatin-based systemic chemotherapy is the standard treatment for metastatic urothelial carcinoma, and there is little evidence to support metastasectomy. The aims of the study were to evaluate the efficacy of metastasectomy and to investigate the prognoses of the patients. The study included 436 patients with urothelial carcinoma who were treated at our hospital. Of these, we included and retrospectively analyzed 29 patients who received curative treatment for the primary tumor and had been treated for metastases. Seven of these patients underwent metastasectomy. In a multivariate analysis, a serum C-reactive protein level before treatment for metastasis of <1 mg/dl and metastasectomy were independent significant predictors of both better progression-free survival and better overall survival. Metastasectomy may be considered a potential treatment for patients with metastases from urothelial carcinoma. ER -