Case 1: Fiona (73 years old)

Fiona, 73 years old, loves to play the piano for her grandchild, a skill she gained during her career as a music teacher. She consults her doctor because of haematuria.

Assessment summary:

• ECOG PS: 0
• BMI: 33
• Papillary tumour at posterior wall
• Ultrasound: no hydronephrosis
• Normal renal function, cisplatin eligible
• Maximal TURBT:
  • pT1 micropapillary UCa (>10%)
  • Muscle in specimen
  • Lymphovascular invasion (LVI)
  • Unifocal, no concomitant CIS