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A 62 Year-Old Man with Painless Hematuria

A 62 Year-Old Man with Painless Hematuria

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Norifumi Kamo, HMS III<br />

Gillian Lieberman, MD<br />

Treatment Options for TCC<br />

TURBT +/- chemotherapy<br />

Primary radiation therapy<br />

Partial cystectomy<br />

Radical cystectomy indications:<br />

Infiltrating muscle-invasive bladder CA w/o evidence<br />

of metastatic disease (T2M0)<br />

Superficial bladder tumors (CIS, T1) refractory to<br />

chemotherapy, other surgery<br />

Patient AS: Pathology report revealed high grade papillary TCC<br />

<strong>with</strong> invasion of lamina propria and muscularis propria<br />

13

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