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3 months vs. 12.6 months; p less then 0.001). Multivariate and Kaplan-Meier analyses revealed microvascular invasion to have a significant adverse effect on recurrence-free survival (RFS 7 months vs. not reached, p = 0.004) and overall survival (OS 21 months vs. 85 months, p = 0.047). CONCLUSIONS After long-term chemotherapy, conversion surgery for UR-PC is associated with long-term survival. Microvascular invasion is predictive of poor prognosis in these patients; adjuvant protocols are therefore needed for patients with microvascular