Adding taxanes to gemcitabine and platinum showed a trend for improved OS but a higher grade ≥ 3 neurotoxicity [ 50 ].
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SEOM-SOGUG clinical guideline for localized muscle invasive and advanced bladder cancer (2021).
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Another retrospective analysis from NCDB including 2187 patients with pT3/4 or LN-positive variant histology disease, failed to demonstrate an OS benefit of adjuvant chemotherapy in patients with non-pure UC, although a numerical trend towards improved survival was seen in neuroendocrine tumors and micropapillary differentiation [ 65 ].