Jimmy is a 68-year-old retired kindergarten teacher. Whenever he can, he volunteers to read to children during story time at the local library.
He was first diagnosed with low-grade non-muscle-invasive bladder cancer (NMIBC) 12 years ago. Since then, he has had two pTa low-grade recurrences of <3 cm, without concomitant carcinoma in situ (CIS). The most recent one was last year, for which he was successfully treated with a resection and chemotherapy instillations for 1 year.
When Jimmy comes in for his next consultation, he tells you that he finds the follow-up cystoscopies burdensome, that the examinations cause him significant anxiety and that he would like to avoid them as much as possible.
For this patient, you would be inclined to… select A, B or C below.
Cast your vote and see what Prof. Dr. Paolo Gontero recommends for this patient case!
Continue follow-up as usual
Suggest to alternate cystoscopies with a biomarker test
Cease follow-up altogether