Bladder cancer
Follow-up surveillance regimes to consider for (very) high-risk NMIBC and MIBCGabriel (74 years old)
Gabriel is a 74-year-old retired military soldier. Now he plays funny rescue missions with his grandchildren when he has to babysit them.
He underwent cystoscopy for painless haematuria, which revealed a 4 cm papillary tumour.
Assessment summary:
- No relevant medical history or family history
- Complete TURBT, pathological review: minimal pT2 UCa
- Imaging: suggestive of cT2 cN0 cM0
- CT scan of thorax/abdomen/pelvis: no distant lesions or synchronous UTUC
- Trimodality therapy (TMT):
- No residual tumour on second TURBT
- Intensity modulated radiotherapy (RT) on the entire bladder (55 Gy in 20 fractions)
- Chemotherapy with fluorouracil and mitomycin C
Re-TURBT of the resection site and random bladder biopsies did not show any residual tumour.
It is now 3 months after completion of RT.