Bladder cancer
Challenges in high-risk NMIBC

Caitlin (81 years old)

Caitlin, 81 years old, can sit for hours in her comfortable chair next to the largest window in her house. Then, she can spy on the neighbours while petting her cat.

She is suspected of having bladder cancer.

Assessment summary

  • Comorbidities:
    • Arterial hypertension
    • Diabetes type II
    • Overweight
  • ECOG PS: 2

On TURBT CIS was detected.

BCG induction was started and followed by maintenance BCG. 6 months after start of BCG therapy (BCG induction and first course of BCG maintenance completed), CIS is persistent.

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