Harvey (62 years old)

Harvey, 62 years old, is a fashion designer of women’s shoes. His last masterpiece were see-through, glow-in-the-dark pumps. Unfortunately, it was not a big success …

He was diagnosed with high-grade non-muscle-invasive bladder cancer (NMIBC) and underwent 6 cycles of Bacillus Calmette-Guérin (BCG) therapy. At follow-up cystoscopy, a tumour was found at the bladder neck.

Assessment summary:

• No relevant medical history
• Maximal TURBT, visually complete
• Pathological review:
  • Progression to MIBC, minimal pT2 UCa
  • Unifocal, no concomitant CIS
• Imaging: suggestive for cT2 cN0 cM0
• Ultrasound: no hydronephrosis
• eGFR: 70 ml/min
• No peripheral neuropathy
• No hearing impairment
• ECOG PS: 0
• Cardiac ejection fraction: 60%
• No voiding symptoms