Bladder cancer
Management of M0 muscle-invasive bladder cancer beyond radical cystectomyJeffrey (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:
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eGFR: 65 ml/min
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Pathological review RC specimen: pT2b N1 UCa, negative surgical margins, presence of lymphovascular invasion