Bladder cancer
Challenges in high-risk NMIBC

Holly (73 years old)

Holly, 73 years old, was obsessed by rollercoasters from an early age onwards. During her career, she managed to open her own “Holy Moly Rollie” theme park.

She is now suspected of having bladder cancer.

Assessment summary

  • Comorbidities:
    • Arterial hypertension
    • Diabetes type II
    • Overweight
  • ECOG PS: 1

On TURBT CIS was detected.

BCG induction was started and followed by maintenance BCG. 6 months after start of BCG therapy (BCG induction and first course of BCG maintenance completed), CIS is persistent.

Which of the following treatment options would you choose for this patient?