Prognostic and predictive factors in patients treated with chemotherapy for advanced urothelial cancer: where do we stand?

The standard of care for patients with local advanced or metastatic urothelial carcinoma is chemotherapy. However, results with this are rather disappointing, and validated prognostic factors and biomarkers of tumor response, which are useful in the decision-making process, are still lacking. PubMed...

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Veröffentlicht in:Future oncology (London, England) England), 2015-01, Vol.11 (1), p.107-119
Hauptverfasser: Buti, Sebastiano, Ciccarese, Chiara, Zanoni, Daniele, Santoni, Matteo, Modena, Alessandra, Maines, Francesca, Gilli, Annalisa, Bria, Emilio, Brunelli, Matteo, Rimanti, Anita, Cascinu, Stefano, Ardizzoni, Andrea, Tortora, Giampaolo, Massari, Francesco
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container_title Future oncology (London, England)
container_volume 11
creator Buti, Sebastiano
Ciccarese, Chiara
Zanoni, Daniele
Santoni, Matteo
Modena, Alessandra
Maines, Francesca
Gilli, Annalisa
Bria, Emilio
Brunelli, Matteo
Rimanti, Anita
Cascinu, Stefano
Ardizzoni, Andrea
Tortora, Giampaolo
Massari, Francesco
description The standard of care for patients with local advanced or metastatic urothelial carcinoma is chemotherapy. However, results with this are rather disappointing, and validated prognostic factors and biomarkers of tumor response, which are useful in the decision-making process, are still lacking. PubMed databases were searched for articles published until November 2013. Several promising clinical and biological candidate prognostic factors or markers of tumor response to first- or second-line therapy, such as hemoglobin, performance status, visceral metastasis and ERCC1, hENT1 and EMT markers, have been identified and described in this article. In summary, clinical parameters and molecular profiling could revolutionize the management of local advanced or metastatic urothelial cancer, but an improvement in individualized therapeutic approaches still seems distant.
doi_str_mv 10.2217/fon.14.172
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subjects bladder cancer
Cancer research
Carcinoma, Transitional Cell - drug therapy
Carcinoma, Transitional Cell - pathology
Chemotherapy
Cisplatin - therapeutic use
elderly patients
Humans
Neoplasm Metastasis
Neoplasm Staging
Patient outcomes
Precision medicine
Prognosis
prognostic factor
survival
Urinary Bladder Neoplasms - drug therapy
Urinary Bladder Neoplasms - pathology
Urologic cancer
urothelial cancer
Urothelium - drug effects
Urothelium - pathology
title Prognostic and predictive factors in patients treated with chemotherapy for advanced urothelial cancer: where do we stand?
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