{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T14:37:49Z","timestamp":1761748669210,"version":"build-2065373602"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,8,13]],"date-time":"2013-08-13T00:00:00Z","timestamp":1376352000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>\n                            To evaluate oncological outcomes of patients with carcinoma\n                            <jats:italic>in situ<\/jats:italic>\n                            (\n                            <jats:styled-content style=\"fixed-case\">CIS<\/jats:styled-content>\n                            ) exclusively at radical cystectomy (\n                            <jats:styled-content style=\"fixed-case\">RC<\/jats:styled-content>\n                            ) and no previous history of\u2009\u2265\n                            <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>\n                            1 disease.\n                          <\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>\n                            Patients undergoing\n                            <jats:styled-content style=\"fixed-case\">RC<\/jats:styled-content>\n                            with curative intent for\n                            <jats:styled-content style=\"fixed-case\">CIS<\/jats:styled-content>\n                            between 1971 and 2008 at the\n                            <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>\n                            niversity of\n                            <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                            outhern\n                            <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>\n                            alifornia were included if they met all the following criteria: (i) pathological\n                            <jats:styled-content style=\"fixed-case\">CIS<\/jats:styled-content>\n                            \u2010only disease at\n                            <jats:styled-content style=\"fixed-case\">RC<\/jats:styled-content>\n                            , (ii) preoperative clinical stage\n                            <jats:styled-content style=\"fixed-case\">cCIS<\/jats:styled-content>\n                            and\/or\n                            <jats:styled-content style=\"fixed-case\">cCIS<\/jats:styled-content>\n                            \u2009+\u2009\n                            <jats:styled-content style=\"fixed-case\">cTa<\/jats:styled-content>\n                            , and (iii) no previous history of lamina propria invasion (\u2265\n                            <jats:styled-content style=\"fixed-case\">pT1<\/jats:styled-content>\n                            ).\n                          <\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>\n                            Kaplan\u2013\n                            <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>\n                            eier plots were used to estimate the probabilities of recurrence\u2010free survival (\n                            <jats:styled-content style=\"fixed-case\">RFS<\/jats:styled-content>\n                            ) and overall survival (\n                            <jats:styled-content style=\"fixed-case\">OS<\/jats:styled-content>\n                            ).\n                          <\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Of the 1964 consented patients 52 met the inclusion criteria with a median (range) follow\u2010up of 8.5 (0.008\u201334) years.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>A median (range) of 36 (10\u201395) lymph nodes were identified per patient but no metastases found.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>\n                            Estimated 5\u2010 and 10\u2010year\n                            <jats:styled-content style=\"fixed-case\">RFS<\/jats:styled-content>\n                            rates were 94% and 90%, respectively and estimated 5\u2010 and 10\u2010year\n                            <jats:styled-content style=\"fixed-case\">OS<\/jats:styled-content>\n                            rates were 85% and 66%, respectively.\n                          <\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Different mechanisms of recurrence were found in four (8%) patients after a median (range) interval of 2.4 (0.6\u20137.1) years. While two patients had metachronous recurrence within the urinary tract, the first of the other two had early systemic recurrence and the second late local recurrence.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>\n                            We noticed excellent outcomes after\n                            <jats:styled-content style=\"fixed-case\">RC<\/jats:styled-content>\n                            for\n                            <jats:styled-content style=\"fixed-case\">CIS<\/jats:styled-content>\n                            \u2010only disease.\n                          <\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>However, patients may have synchronous and\/or develop metachronous tumours, as well as local and\/or distant\/systemic recurrence that can be cured but may also lead to fatal outcomes.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.12250","type":"journal-article","created":{"date-parts":[[2013,5,23]],"date-time":"2013-05-23T12:23:06Z","timestamp":1369311786000},"page":"65-69","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Outcome in patients with exclusive carcinoma\n                    <i>in situ<\/i>\n                    (\n                    <scp>CIS<\/scp>\n                    ) after radical cystectomy"],"prefix":"10.1111","volume":"113","author":[{"given":"Pascal","family":"Zehnder","sequence":"first","affiliation":[{"name":"Catherine &amp; Joseph Aresty Department of Urology USC Institute of Urology  Los Angeles CA USA"},{"name":"Department of Urology University of Bern  Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"Moltzahn","sequence":"additional","affiliation":[{"name":"Department of Urology University of Bern  Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siamak","family":"Daneshmand","sequence":"additional","affiliation":[{"name":"Catherine &amp; Joseph Aresty Department of Urology USC Institute of Urology  Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marya","family":"Leahy","sequence":"additional","affiliation":[{"name":"Catherine &amp; Joseph Aresty Department of Urology USC Institute of Urology  Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Cai","sequence":"additional","affiliation":[{"name":"Catherine &amp; Joseph Aresty Department of Urology USC Institute of Urology  Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gus","family":"Miranda","sequence":"additional","affiliation":[{"name":"Catherine &amp; 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