Bladder cancer
INACTIVE --- It’s getting personalised: first-line therapy of synchronous or metachronous mUCa

Ronald (73 years old)

Ronald is a 73-year-old music lover. He listens to more than 10 different records per day on his vintage record player.

He is diagnosed with metastatic bladder cancer during a workup for dysuria.

Assessment summary:

  • Medical history: diabetes and diabetic nephropathy
  • CT scan of chest, abdomen and pelvis: diffuse liver and lung metastases
  • ECOG PS: 0
  • Peripheral neuropathy: grade I due to diabetes
  • No hearing impairment
  • GFR: 45 ml/min due to diabetic nephropathy
  • PD-L1 expression: strongly positive

Which treatment option would you choose for this patient?