Austin (33 years old)

Austin is a 33-year-old radio presenter. He is worried about recurrent haematuria and decides to pay his doctor a visit.

Assessment summary:

• Comorbidities:
  • Spina bifida
  • Indwelling catheter
• No paralysis
• Tumour at right bladder wall
• Maximal TURBT:
  • Minimal pT2 pure squamous cell carcinoma (SCC) 
  • No LVI
  • Unifocal, no concomitant CIS
• Imaging: suggestive of cT3bN0M0
• Normal renal function
• ECOG PS: 1