Recurrence or Persistent Disease

Question 1

In the preserved bladder with recurrent or persistent disease, MUSCLE INVASIVE BLADDER CA was seen, what are the FOUR available treatment options of the recurrent or persistent disease?

Answer 1

1. CYSTECTOMY
2. CHEMORAD (IF NO PRIOR RT)
3. SYSTEMIC THERAPY
4. PALLIATIVE TURBT AND BEST SUPPORTIVE CARE

Question 2

In the preserved bladder with recurrent or persistent disease, Tis, Ta, or T1 was seen, is TURBT an option? Is cystectomy an option? Is intravesical therapy still an option?

Answer 2

TURBT IS STILL AN OPTION

CYSTECTOMY IS AN OPTION

INTRAVESICAL THERAPY IS AN OPTION

Question 3

In local recurrence with Tis, Ta, or T1, what is the next step after failed response of intravesical chemotherapy?

Answer 3

CYSTECTOMY

Question 4

In the preserved bladder that is CYTOLOGY POSITIVE, but cystoscopy, EUA and selected mapping biopsy negative, what are the two additional evaluations that you can perform?

Answer 4

Retrograde selective washings of the upper tract

Prostatic urethral biopsy

Question 5

In post cystectomy that has shown to be metastatic or with local recurrence, what are your 3 options for treatment?

Answer 5

SCR

SYSTEMIC CHEMOTHERAPY
CHEMORAD
RADIOTHERAPY