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Prognostic Factors in Metastatic Urothelial Carcinoma Treated Without Methotrexate, Vinblastine, Doxorubicin, and Cisplatin (M-VAC): A Single-Center Retrospective Study.

Cureus · 2025 · PMC12633658 · PMID 41280965

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showed a trendno p-value reported
Adverse metastasis sites (lymph node, lung, ≥2 sites) were associated with reduced OS, while maintenance gemcitabine showed a trend toward longer OS.

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