Bladder cancer
Adjuvant treatment approaches for MIBC

Case 1: Joshua (78 years old)

Joshua, 78 years old, joined the scrabble club after his retirement. He has been unbeatable since.

He was recently diagnosed with MIBC and underwent RC + pelvic lymph node dissection (PLND) without significant complications. He did not receive neoadjuvant chemotherapy (NAC).

Assessment summary:

  • No relevant medical history
  • eGFR: 65 ml/min
  • ECOG PS: 0
  • Pathological review RC specimen:
    • pT2bN2 (3/10)
    • R0
    • PD-L1 negative
  • Imaging: cM0

Which treatment option would you choose for this patient?