Extra case 2: Joaquim (69 years old)

Joaquim, 69 years old, is a retired accountant who spends his mornings reading the newspaper and walking in the neighbourhood park.

He presented with frequent urination and painless haematuria.

Assessment summary:

• Medical history: hypertension
• ECOG PS: 0
• Cystoscopy: 1 papillary tumour of 4 cm at the left bladder wall
• Urine cytology: HG UCa (according to the Paris system)
• Conventional TURBT: resection visually complete, pathological review:
  • pT1 HG
  • Pure urothelial carcinoma
  • Unifocal, no concomitant CIS
  • No LVI
  • Muscularis propria present in specimen, uninvolved
• CT urography: cN0, no concomitant upper tract tumour

He underwent a second TURBT, which revealed no residual papillary tumour.