BCa Risk Stratification

Question 1

What defines Low Risk Bladder Cancer (2)?

Answer 1

LGa solitary Ta ≤ 3cm
PUNLMP

aLG = low grade; PUNLMP = papillary urothelial neoplasm of low malignant potential

Question 2

What are the criteria for Intermediate Risk Bladder Cancer?

Answer 2

Recurrence within 1 year, LG Ta
Solitary LG Ta > 3cm
LG Ta, multifocal
HGTa, ≤ 3cm
LG T1

Question 3

What defines High Risk Bladder Cancer?

Answer 3

HG T1
Any recurrent HG Ta
HG Ta > 3cm (or multifocal)
Any CIS
Any BCG failure in HG patient
Any variant histology
Any LVI
Any HG prostatic urethral involvement

CIS = carcinoma in situ; LVI = lymphovascular invasion