Case 1: Ivor (75 years old)

Ivor, a 75-year-old retired shipbuilder and woodworking enthusiast, 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
• Urine cytology: suspicious for high-grade (HG) UCa (according to the Paris system)
• Conventional TURBT: resection visually complete, pathological review:
  • pTa HG
  • Pure UCa
  • No lymphovascular invasion (LVI)
  • Muscle in specimen
• CT urography: cN0, no concomitant upper tract tumour