Bladder cancer
Adjuvant treatment approaches for MIBCCaterina (70 years old)
Caterina 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 (cT3 N0 M0) and received 4 cycles of neoadjuvant gemcitabine + cisplatin (GC) followed by RC + PLND.
Postoperative assessment summary:
- eGFR: 65 ml/min
- ECOG PS: 1
- CT imaging: M0
- Cardiac ejection fraction: 65%
- Pathological review RC specimen:
- ypT3 ypN0 (0/10)
- Pure urothelial carcinoma (UCa)
- Negative surgical margins (R0)
- PD-L1 strongly positive