Bladder cancer
Challenges in high-risk NMIBC

Aylin (62 years old)

Aylin, 62 years old, works as a cashier in a student restaurant. She has a good relationship with the students. During the exam period, she cheers up the students with life-inspiring pep talks.

She is an active smoker, 35 pack years, but otherwise healthy. Recently, she was diagnosed with bladder cancer, pT1 HG (diameter 1.5 cm) and intravesical BCG was started.

Cystoscopy after BCG induction course shows a suspicious lesion. TURBT confirms pT1 HG tumour of 1 cm. A second resection shows no evidence of disease.

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