Bruna (79 years old)

Bruna, 79 years old, has always had a big passion for music concerts. To this day she still goes to concerts where she can sit.

She was diagnosed with metastatic bladder cancer during a workup for haematuria.

Assessment summary:

• Medical history: diabetes and diabetic nephropathy
• CT scan of chest, abdomen and pelvis: pelvic lymph node metastases and diffuse liver metastases
• Biopsy compatible with UCa
• ECOG PS: 2
• Peripheral neuropathy: grade 2 due to diabetes
• No hearing impairment
• GFR: 35 ml/min due to diabetic nephropathy
• Cardiac ejection fraction: 70%
• PD-L1 expression: strongly positive