Bladder cancer
Adjuvant treatment approaches for MIBC

Howard (69 years old)

Howard is a 69-year-old retired librarian and avid reader. He spent much of his free time reading historical novels and biographies and regularly participated in discussions through her local book club.

He was recently diagnosed with MIBC (cT3N0M0) for which he received 4 cycles of neoadjuvant GC and underwent RC + PLND.

Postoperative assessment summary:

  • eGFR: 65 ml/min
  • ECOG PS: 0
  • Pathological review RC specimen:
    • ypT3 ypN0 (0/10)
    • R1
    • PD-L1 positive
  • Imaging: cM0
  • Cardiac ejection fraction: 65%

Which option would you choose for this patient?