Bladder cancer
NEW --- Treatment approaches for patients diagnosed with (very) high-risk NMIBCMira (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