Alexander (71 years old)

Alexander, 71 years old, used to be an architect. Although he retired, he still walks around his neighbourhood every day to monitor the progress of all construction sites…

He underwent cystoscopy which revealed a papillary tumour.

Assessment summary:

• Pathological review TURBT:
  • Minimal pT2 UCa
  • Unifocal
  • No concomitant CIS
• Imaging: suggestive for cT2N0M0
• CT scan of thorax/abdomen/pelvis: no distant lesions or synchronous UTUC
• Ultrasound: no hydronephrosis
• TMT:
  • Pathological review second maximal TURBT:
    • pT1 high-grade
    • Visually complete resection
    • Muscle in specimen
• Intensity modulated RT on the entire bladder (55 Gy in 20 fractions)
• Concurrent chemotherapy with fluorouracil and mitomycin C

9 months after TMT:

• Imaging: suggestive for cT0N0M0
• Cystoscopy: papillary tumour
• Pathological review TURBT: pTa low-grade