Cecilia (72 years old)

Cecilia is a 72-year-old retired chemical engineer, who now enjoys brewing beer at home with her grandson.

She was recently diagnosed with MIBC (cT3 N0 M0) and received 4 cycles of neoadjuvant gemcitabine + cisplatin (GC) followed by RC + PLND.

Postoperative assessment summary:

• eGFR: 65 ml/min
• ECOG PS: 1
• CT imaging: cM0
• Cardiac ejection fraction: 65%
• Pathological review RC specimen:
  • ypT3 ypN0 (0/10)
  • Pure urothelial carcinoma (UCa)
  • Negative surgical margins (R0)
  • PD-L1 negative