Bladder cancer
Adjuvant treatment approaches for MIBC

Joshua (78 years old)

Joshua, 78 years old, joined the scrabble club after his retirement. He has been unbeatable since.

He was recently diagnosed with MIBC and underwent RC + pelvic lymph node dissection (PLND) without significant complications. He did not receive neoadjuvant chemotherapy (NAC).

Assessment summary:

  • No relevant medical history
  • eGFR: 65 ml/min
  • ECOG PS: 0
  • Pathological review RC specimen:
    • pT2bN2 (3/10)
    • R0
    • PD-L1 negative
  • Imaging: cM0

Which treatment option would you choose for this patient?