Risk stratification of high-risk muscle invasive upper urinary tract urothelial carcinoma: multi-institutional study

Patients with high-risk pT2 UTUC had significantly worse survival outcomes compared to those with low-risk pT2 UTUC. These findings suggest that further refinement of clinical trial designs is needed to better identify high-risk pT2 UTUC patients who may benefit from more aggressive treatment strategies, such as adjuvant therapy, while minimizing unnecessary systemic therapy in low-risk pT2 UTUC patients. Future studies should validate these findings and help establish the true value of systemic therapy for this patient population.

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Publication Details

Journal
World Journal of Urology
Published
2025-10-04
DOI
https://doi.org/10.1007/s00345-025-05915-8
Primary Topic
Bladder and Urothelial Cancer Treatments
Type
article
Field-Weighted Citation Impact
0.00

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article

Risk stratification of high-risk muscle invasive upper urinary tract urothelial carcinoma: multi-institutional study

Chi‐Ping Huang, Hao‐Lun Luo, Shih-Hsiu Lo, Hung‐Lung Ke et al.
World Journal of Urology
Bladder and Urothelial Cancer Treatments
article

Risk stratification of high-risk muscle invasive upper urinary tract urothelial carcinoma: multi-institutional study

Chi‐Ping Huang, Hao‐Lun Luo, Shih-Hsiu Lo, Hung‐Lung Ke, Wei‐Ming Li, Hung‐Jen Wang, Shu‐Yu Wu, Yi‐Huei Chang, Yao-Chou Tsai
article en

Abstract

Patients with high-risk pT2 UTUC had significantly worse survival outcomes compared to those with low-risk pT2 UTUC. These findings suggest that further refinement of clinical trial designs is needed to better identify high-risk pT2 UTUC patients who may benefit from more aggressive treatment strategies, such as adjuvant therapy, while minimizing unnecessary systemic therapy in low-risk pT2 UTUC patients. Future studies should validate these findings and help establish the true value of systemic therapy for this patient population.

World Journal of UrologyVol. 43(1)
Kaohsiung Medical University (TW), Chang Gung University (TW), China Medical University (TW), Tzu Chi University (TW), Taipei Medical University Hospital (TW), Kaohsiung Medical University Chung-Ho Memorial Hospital (TW), Kaohsiung Chang Gung Memorial Hospital (TW), Taipei Tzu Chi Hospital (TW), China Medical University Hospital (TW), Pingtung Hospital (TW), Taipei Medical University (TW)
Chang Gung University, Chang Gung Medical Foundation, Kaohsiung Chang Gung Memorial Hospital
Openalex Percentile: Top 56%
Bladder and Urothelial Cancer Treatments
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Risk stratification of high-risk muscle invasive upper urinary tract urothelial carcinoma: multi-institutional study — Chi‐Ping Huang, Hao‐Lun Luo, et al. · World Journal of Urology (2025) | TGRS Research Map | TGRS