STWS Home Module Home  Bladder: Case #4 Print

Physical Exam

01/21/XX

73 year old female presented with gross hematuria.
PE unremarkable

   
X-Rays & Scans

01/24/XX

CXR NEG

01/17/XX IVP Large right-sided bladder mass
01/25/XX CT Pelvis: No evid distant mets
   
Scopes/Lab 01/17/XX CBC Normal
   
Operative Findings

01/21/XX

TURB: Huge bladder tumor on R lateral wall, more than 5 cm, fungating type.
   
Pathological Reports

01/21/XX

TURB: 5 x 5 x 1.5 cm pap trans cell CA, grade II/IV with superficial muscle invasion

   
Treatment 01/21/XX
Surgery: Transurethral resection of bladder tumor (TURBT)
02/17/XX Radiation: Curative radiation to bladder 46 Gy, 6 MV photons, boost to 60 Gy, IMRT, 30 fractions.
02/17/XX Chemotherapy: Cisplatin concurrent with radiation

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