Bladder: Case #5

Physical Exam	01/21/XX	48 year old male; works in tanning factory. No abd masses; prostate is normal size, but is immobile

X-Rays & Scans	01/21/XX	CXR NEG
X-Rays & Scans	01/27/XX	IVP 2.5 cm bladder tumor arising at the urethral orifice, question prostatic and urethral extension

Scopes/Lab	01/21/XX	CBC Normal

Operative Findings	01/27/XX	TURB: Polypoid bladder tumor at the urethral orifice, somewhat bulky, suggest resection
Operative Findings	01/28/XX	Exploratory laparotomy, total cystectomy and lymph node dissection, and prostatectomy (with seminal vesicles); bladder tumor was fixed to and involved the prostatic urethra and the prostate

Pathological Reports	01/27/XX	TURB: Mult fragments, Mod Diff invasive transitional cell ca
Pathological Reports	01/28/XX	Total cystectomy, LN dissect, and prostatectomy: Mod Diff TCC of the bladder w/ invasion of the prostatic urethra and gross prostate; 2 of 5 iliac LNs (all less than 2 cm) and 4 of 6 inguinal LNs (no size given) are + for mets

Treatment	01/27/XX	Transurethral resection (TURBT)
	01/28/XX	Cystectomy, LN dissection, prostatectomy
	03/10/XX	Multi-agent chemotherapy (gemcitabine, cisplatin)