Keith (75 years old)

Keith, 75 years old, doesn’t like sweet pastries. He never dared to tell his wife who is a retired pastry sous chef. Now he is forced to taste her baking every weekend …

He underwent cystoscopy for painless haematuria, which revealed a papillary tumour.

Assessment summary:

• No relevant medical history
• Pathological review maximal TURBT:
  • Minimal pT2 UCa
  • Unifocal, no concomitant CIS
• Imaging: suggestive for cT2 cN2 cM0
• Ultrasound: no hydronephrosis
• eGFR: 70 ml/min
• No peripheral neuropathy
• No hearing impairment
• ECOG PS: 1
• Cardiac ejection fraction: 70%