What is the next step in treatment for a 60-year-old man with Carcinoma In Situ (CIS) of the bladder who has completed an induction course of Bacillus Calmette-Guérin (BCG) and has no residual tumor on follow-up biopsy?

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Management of Bladder CIS After BCG Induction

For a 60-year-old man with CIS of the bladder who received an induction course of BCG with no residual tumor on follow-up biopsy and mild atypia on cytology, maintenance BCG therapy should be initiated with three weekly instillations at months 3,6, and 12, and continuing with three weekly instillations every 6 months for up to 3 years. 1, 2

Rationale for Maintenance BCG Therapy

The NCCN guidelines strongly recommend maintenance BCG therapy for patients with high-risk non-muscle invasive bladder cancer (including CIS) who have responded to induction therapy 1. This recommendation is based on evidence that:

  • An induction course of BCG followed by a maintenance regimen produces better outcomes than intravesical chemotherapy alone 1
  • Maintenance therapy significantly reduces disease recurrence and progression compared to induction therapy alone 1
  • For high-risk patients (including those with CIS), 3-year maintenance BCG reduced recurrence compared with 1-year maintenance 1

Recommended Maintenance Schedule

The optimal maintenance schedule based on the strongest evidence is:

  • Three weekly instillations at months 3,6, and 12 after induction
  • Continue with three weekly instillations at months 18,24,30, and 36 2

This schedule is based on the SWOG trial regimen that demonstrated reduced disease progression and metastasis 1.

Monitoring During Maintenance Therapy

  • Regular cystoscopy and urinary cytology every 3 months for the first 2 years
  • Then every 6 months for years 3-4, and annually thereafter 2
  • Upper tract imaging at least once within the first 2 years 2

Important Considerations

Response Assessment

  • Complete response is defined as no visible tumor on cystoscopy, negative cytology, and negative biopsies 2
  • If cytology becomes positive during follow-up but cystoscopy remains negative, selected mapping biopsies are indicated 2

BCG Toxicity Management

  • Full-dose BCG is recommended by the NCCN panel 1
  • If significant local symptoms develop during maintenance, dose reduction may be considered 1
  • Symptom management with single-dose, short-term quinolones and/or anticholinergics can reduce adverse events 1

Management of Recurrence

  • If recurrence is detected during maintenance therapy, consider a second course of BCG induction (maximum of 2 consecutive courses) 2
  • For persistent high-grade T1 tumors after a second course, cystectomy is recommended 1
  • For persistent CIS or Ta disease after a second course, options include cystectomy or changing the intravesical agent 1

Why Option C is Correct

Among the given options, option C (three weeks of BCG at three and six months, then every six months for two years) most closely aligns with the evidence-based maintenance schedule recommended by current guidelines. This schedule follows the established SWOG protocol that has demonstrated the best outcomes in reducing disease progression and metastasis 1, 2.

Option A (cystoscopy and cytology in three months) is inadequate as it does not include maintenance therapy, which is strongly recommended for CIS patients who have responded to induction 1.

Option B (monthly BCG for one year) represents an excessive and non-standard maintenance schedule that could increase toxicity without proven additional benefit 1.

Option D (intravesical mitomycin C) would be appropriate only after BCG failure, not as first-line maintenance therapy 1.

Option E (additional six weeks of BCG) would constitute a second induction course, which is only indicated for persistent or recurrent disease, not for patients who have already shown complete response 1.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Management of Non-Muscle Invasive Bladder Cancer

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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