Bladder cancer
Adjuvant treatment approaches for MIBC

Milan (77 years old)

Milan, 77 years old, used to be a bodybuilder and still thinks he can win an arm-wrestling game.

He was recently diagnosed with MIBC and underwent RC + PLND without significant complications. He did not receive NAC.

Assessment summary:

  • No relevant medical history
  • eGFR: 45 ml/min
  • ECOG PS: 0
  • Pathological review RC specimen:
    • pT2bN2 (3/10)
    • R0
    • PD-L1 negative
  • Imaging: cM0

Which treatment option would you choose for this patient?