Bladder Cancer T2N0M0 (high grade): Radical Cystectomy or  Trimodality Bladder-Preserving Therapy?

Sometimes surgery is amputative and may bring tremendous changes in the quality of a patient's life.  Presentation of a patient with invasive bladder cancer who visits 2 physicians: the first one recommends Radical Cystectomy and the second one a more conservative therapy. 

• Presenting a case of T2N0M0 (high-grade) Bladder Ca – Diagnostic approach & Staging -  V. Tzortzis
• Therapeutic options for Τ2Ν0Μ0 – V. Tzortzis
• Clinical Studies on Trimodality Therapy – Ι. Ζahos
• Prognostic Factors – Comparison between Trimodality Therapy and Radical Cystectomy - Ι. Ζahos
• Recent Data for Trimodality Therapies – Discussion for the working group - V. Tzortzis
• Presentation of the case. Evidence supporting Trimodality Bladder-Preserving Therapy – Ι. Zahos
• Evidence supporting Radical Cystectomy – P. Nikolopoulos
• Comparing Radical Cystectomy with Trimodality Therapy - Discussion/ Debate – D. Mitropoulos, V. Tzortzis

Bladder Cancer: the path towards bladder preservation

Total Cystectomy is an amputative procedure. During the last years many protocols have investigated alternative therapies. Which are these and when are they indicated? We will learn through a case often met in our everyday clinical practice. 

• Virtual Patient: Bladder Ca - V. Tzortzis
• Bladder Ca: Case analysis - Κ. Hatzimouratidis
• Upper Urinary Tract Imaging -  number of Resection Specimens - Random Biopsies
• Immediate Postoperative Chemotherapy dose &   Cystoscopy - Pathoanatomical findings
• Risk factors - Photodynamic Cystoscopy
• Discussing re-TUR, BCG Vaccination Program