Julian (79 years old)

Julian, 79 years old, enjoys a quiet and structured daily routine, with a strong appreciation for his independence and familiar habits. He is diagnosed with metastatic bladder cancer during a workup for haematuria.

Assessment summary:

• Medical history: obese, controlled diabetes mellitus (DM) and diabetic nephropathy, venous leg ulcers
• CT chest, abdomen, pelvis: pelvic lymph node metastases and diffuse liver metastases, liver biopsy compatible with UCa
• ECOG PS: 2
• Peripheral neuropathy: grade 3 due to DM
• No hearing impairment
• GFR: 25 ml/min due to diabetic nephropathy
• Cardiac ejection fraction: 60%
• PD-L1 expression: strongly positive