Bladder cancer
Adjuvant treatment approaches for MIBC

Khloe (70 years old)

Khloe, 70 years old, loves to wine and dine with her friends, or should we say wine and wine…

She was diagnosed with MIBC (cT3bN0M0) for which she received 4 cycles of neoadjuvant gemcitabine + cisplatin (GC) and underwent RC + PLND.

Postoperative assessment summary:

  • eGFR: 65 ml/min
  • ECOG PS: 0
  • Pathological review RC specimen:
    • ypT3N0 (0/10)
    • R0
    • PD-L1 positive
  • Imaging: cM0
  • Cardiac ejection fraction: 70%

Which of the following treatment options would you choose for this patient?