Bladder cancer
INACTIVE --- BCG or early cystectomy? Challenges in high risk NMIBC

Al (68 years old)

Al, 68 years old, used to be a professional ethical hacker. When he gets bored, he tends to hack the FBI website for fun and snoop around. The FBI doesn’t think this is funny.

  • Comorbidities:
    • diabetes type II
  • PS 0

On initial workup TURBT shows pT1 high-grade + CIS. Second resection shows pTis. BCG was started. Control cystoscopy after 3 months shows a 1 cm papillary tumour. TURBT confirms urothelial cancer pTa low grade (muscle in specimen).

What is the most appropriate treatment choice for this patient?