Bladder cancer
INACTIVE --- Variant histology = radical cystectomy, right?

Arthur (69 years old)

Arthur, now happily retired at age 69, can look back at a nice career as golf ball diver. The perfect job for someone who doesn’t like marine life, but does like diving! Unfortunately, he is diagnosed with bladder cancer.     

  • Comorbidities: arterial hypertension
  • ECOG PS: 0
  • TURBT: pure adenocarcinoma of the left bladder wall, muscle invasive (min pT2), no LVI, no concomitant CIS
  • Imaging: suggestive for cT2 N0M0 disease
  • Normal renal function
  • No prior abdominal surgery

Which treatment option would you choose for this patient?