Oswald (75 years old)

Oswald is a 75-year-old retired architect who loves spending time sketching historic buildings. He recently presented with episodes of macroscopic haematuria.

Assessment summary:

• Medical history:
  • Former smoker (40 pack years)
  • Hypertension, diabetes mellitus type 2
• ECOG PS: 1
• Cystoscopy: papillary tumour of 3.5 cm at the right bladder wall, multiple reddish lesions
• Urine cytology: suspicious for HG UCa (according to the Paris system)
• Conventional TURBT: resection visually complete, pathological review:
  • pT1 HG + CIS
  • Pure UCa
  • No LVI
  • Muscle in specimen
• CT urography: cN0, no concomitant upper tract tumour