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Thanks! A: Directly from the site, click on the link below, and it will download in the folder you’ve specified: This seems to be a.SIB file, which may not run without Visual Studio 2017. You may be able to find a trial version from a legal download, or from their website, but that I can’t confirm as I don’t use their products. Nonsurgical versus resectional treatment of upper-tract carcinoma. Upper-tract urothelial carcinoma accounts for 10-15% of all newly diagnosed urothelial carcinomas in the United States. Treatment is dictated by the size of the tumor, the presence of distant metastases and the clinical condition of the patient. Clinical staging and the presence of distant metastases are by far the most important factors in determining survival and prognosis. With complete gross resection and regional lymphadenectomy, 10-year overall survival rates are approximately 60% for patients with T2 and 50% for patients with less than T2 disease. Metastatic and locally invasive disease should be treated aggressively. According to the National Bladder Cancer Collaborative Group report, the 5-year survival rate for patients with metastatic disease is approximately 45% compared to 90% in patients with nonmetastatic disease. Since no randomized prospective trials have been completed in this setting, treatment is dictated by criteria utilized for the treatment of advanced disease. Patients with extravesical tumors have been treated with nephroureterectomy and may have survival rates similar to those after complete gross resection. Currently, neoadjuvant chemotherapy is used primarily for patients with nonmuscle-invasive disease that is either inoperable or not amenable to complete resection or for patients who are medically unfit for surgical resection. In some cases, neoadjuvant chemotherapy may be indicated for patients who are initially considered unfit for complete resection after a course

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