Bladder cancer
Management of M0 muscle-invasive bladder cancer beyond radical cystectomy

Jeffrey (78 years old)

Jeffrey, a 78-year-old retired policeman, fills his days with solving crosswords and reading books. Recently, he underwent RC + PLND without significant complications. Although he was eligible for chemotherapy, he declined neoadjuvant chemotherapy.

 

Postoperative findings:

  • eGFR: 65 ml/min

  • Pathological review RC specimen: pT2b N1 UCa, negative surgical margins, presence of lymphovascular invasion

What is the most appropriate treatment choice for this patient?