Mira (69 years old)

Mira, 69 years old, spends her days meticulously crafting traditional Slavic embroidery. Unfortunately, she was diagnosed 5 years ago with low-risk NMIBC, for which she received 1 immediate intravesical instillation of chemotherapy after TURBT. Three years after the initial diagnosis, she had a low-grade papillary recurrence of 2 cm, which was treated with TURBT followed by intravesical chemotherapy for 1 year.

Follow-up cystoscopy another 2 years later shows a papillary tumour of 2.5 cm at the anterior bladder wall.

Assessment summary:

• Medical history:
  • Former smoker (40 pack years)
  • Obesity, hypertension
• ECOG PS: 1
• Urine cytology: negative for HG UCa (according to the Paris system)
• En bloc TURBT: resection visually complete, pathological review:
  • pT1 HG
  • Pure UCa
  • No LVI
  • Muscle in specimen
• CT urography: cN0, no concomitant upper tract tumour