Madeline (73 years old)

Madeline, a 73-year-old lady, is a former physics professor who still loves to challenge gravity during paragliding. She goes to her doctor because of haematuria.

• ECOG PS: 0    
• BMI: 33
• Papillary tumour at posterior wall
• Ultrasound: no hydronephrosis
• Normal renal function
• TURBT: pT1 UCa with micropapillary variant (>10%), muscle in specimen
• Lymphovascular invasion (LVI), no concomitant CIS