Bladder cancer
Adjuvant treatment approaches for MIBCSara (70 years old)
Sara is a 70-year-old retired educator, who recently started a personal coaching project to share her critical-thinking and analytical expertise with enthusiastic learners shop owners who want to optimize their web shop.
She was recently diagnosed with MIBC (cT3bN0M0) and received 3 cycles of neoadjuvant gemcitabine + cisplatin (GC) followed by RC + PLND.
Postoperative assessment summary:
- eGFR: 65 ml/min
- ECOG PS: 1
- CT imaging: cM0
- Cardiac ejection fraction: 70%
- Pathological review RC specimen:
- ypT3N0 (0/10)
- Negative surgical margins (R0)
- PD-L1 strongly positive