Bladder cancer
NEW --- Treatment approaches for patients diagnosed with (very) high-risk NMIBC

Christoph (69 years old)

Christoph, 69 years old and deeply enthusiastic about cricket, presented with frequent urination and painless haematuria.

Assessment summary:

  • Medical history: hypertension
  • ECOG PS: 0
  • Cystoscopy: 1 papillary tumour of 4 cm at the left bladder wall
  • Urine cytology: HG UCa (according to the Paris system)
  • Conventional TURBT: resection visually complete, pathological review:
    • pT1 HG
    • Pure UCa
    • Unifocal, no concomitant CIS
    • No LVI
    • Muscle in specimen
  • CT urography: cN0, no concomitant upper tract tumour

He underwent a second TURBT, which revealed no residual papillary tumour.

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