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.