What is the appropriate management for a patient diagnosed with bladder cancer?

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USMLE Step 3 CCS Case: Bladder Cancer

Case Presentation

68-year-old male presents to clinic with 2 weeks of painless gross hematuria.


Initial Orders (Day 1, Clinic Visit)

Immediate Laboratory Studies

  • Complete blood count (CBC) - assess for anemia from chronic blood loss 1, 2
  • Comprehensive metabolic panel (CMP) - evaluate renal function (creatinine clearance critical for future cisplatin eligibility) and liver function 1, 2, 3
  • Urinalysis with microscopy - confirm hematuria and rule out infection 1, 2
  • Urine cytology - high sensitivity (84%) for high-grade tumors and carcinoma in situ 1

Imaging

  • CT urography of abdomen and pelvis with IV contrast - this is the gold standard imaging modality to evaluate the bladder mass and detect synchronous upper tract urothelial carcinoma, which occurs in 2.5% of patients 1, 2

Consultations

  • Urology consultation - for cystoscopy with biopsy or transurethral resection of bladder tumor (TURBT) 1, 2

Patient Counseling (Initial Visit)

  • Explain that painless hematuria in a 68-year-old male requires urgent evaluation for bladder cancer, which is the sixth most common malignancy in the United States 4, 5
  • Discuss that 80% of bladder cancer patients present with painless hematuria 1
  • Counsel on smoking cessation if applicable, as cigarette smoking is a major risk factor 4
  • Explain the need for cystoscopy as the definitive diagnostic procedure 1, 2

Day 3: Review Results and Schedule Procedure

Results Review

  • CBC: Hemoglobin 11.2 g/dL (mild anemia consistent with chronic blood loss)
  • CMP: Creatinine 1.1 mg/dL, creatinine clearance >60 mL/min (cisplatin-eligible), normal liver function
  • Urinalysis: Gross hematuria, no infection
  • Urine cytology: Atypical cells present, suspicious for high-grade urothelial carcinoma
  • CT urography: 3.5 cm mass in right lateral bladder wall, no hydronephrosis, no upper tract lesions, no lymphadenopathy

Orders

  • Schedule TURBT with bimanual examination under anesthesia within 1 week 1, 2
  • Pre-operative clearance: EKG, chest X-ray
  • NPO after midnight before procedure

Day 10: TURBT Procedure

Intraoperative Orders and Documentation

  • Perform bimanual examination under anesthesia - assess for extravesical extension or palpable mass (clinical staging for T3/T4 disease) 1, 2
  • Complete TURBT with standardized protocol - document tumor size (3.5 cm), location (right lateral wall), configuration (papillary), and number (solitary) 2, 3
  • Obtain separate pathology specimens:
    • Tumor edges (superficial component)
    • Tumor base (deep component with detrusor muscle - essential for accurate staging)
    • Random bladder biopsies from normal-appearing mucosa (to detect carcinoma in situ)
    • Prostatic urethral biopsies (bladder TCC involves prostate in 12-40% of males) 1, 2

Post-Procedure Orders

  • Continuous bladder irrigation with three-way Foley catheter
  • Monitor for hematuria and clot retention
  • Pain control: Acetaminophen 650 mg PO q6h PRN, oxycodone 5 mg PO q4h PRN for severe pain
  • Discharge when urine clear (typically 24-48 hours)

Day 12: Pathology Results

Final Pathology: High-grade urothelial carcinoma, pT1 (lamina propria invasion), no detrusor muscle invasion, focal carcinoma in situ (CIS) present, lymphovascular invasion absent

Risk Classification: High-risk non-muscle invasive bladder cancer (NMIBC) 1, 3


Day 14: Post-Operative Follow-Up

Additional Staging for High-Risk NMIBC

  • CT chest with contrast - evaluate for metastatic disease 3
  • Alkaline phosphatase level - screen for bone metastases 1
  • Schedule repeat TURBT within 4-6 weeks - mandatory for high-risk disease to achieve complete resection, obtain adequate muscle sampling, and identify occult muscle-invasive disease (occurs in 10-30% of cases) 3

Multidisciplinary Planning

  • Refer to medical oncology for treatment planning discussion 3
  • Discuss case at multidisciplinary tumor board - include urologic oncology, medical oncology, and radiation oncology 3

Patient Counseling (High-Risk NMIBC)

  • Explain that T1 high-grade disease with CIS represents high-risk bladder cancer with significant progression risk 1, 3
  • Discuss two treatment pathways:
    1. BCG immunotherapy (bladder-sparing approach)
    2. Immediate radical cystectomy (definitive treatment)
  • For BCG therapy: Explain the induction course consists of 6 weekly intravesical instillations starting 2-4 weeks after repeat TURBT, followed by maintenance therapy at 3,6,12,18,24,30, and 36 months 2
  • For radical cystectomy: Discuss that this involves removal of bladder, prostate, and seminal vesicles with bilateral pelvic lymph node dissection, requiring urinary diversion (ileal conduit or neobladder) 1, 2
  • Counsel on fertility preservation - recommend sperm banking before any systemic therapy if future fertility desired 3
  • Emphasize smoking cessation - critical for reducing recurrence and progression risk 2, 4
  • Discuss lifelong surveillance requirements regardless of treatment choice 2, 6

Week 6: Repeat TURBT

Procedure Orders

  • Complete repeat TURBT - resect previous tumor bed and any residual disease 3
  • Obtain deep biopsies including detrusor muscle from tumor bed 3
  • Random bladder biopsies from areas of erythema or suspicious mucosa 1

Repeat Pathology: Residual high-grade urothelial carcinoma, pT1, CIS present, detrusor muscle present and uninvolved (confirms non-muscle invasive disease)


Week 8: Treatment Initiation (Patient Chooses BCG Therapy)

BCG Induction Course Orders

  • Intravesical BCG 81 mg (TICE strain) in 50 mL normal saline - weekly instillations for 6 weeks 2
  • Pre-treatment instructions:
    • Restrict fluids 4 hours before treatment
    • Empty bladder immediately before instillation
    • Retain BCG in bladder for 2 hours, changing position every 15 minutes
    • Void while seated after 2 hours
    • Disinfect toilet with bleach after voiding for 6 hours post-treatment
  • Monitor for BCG toxicity: fever, dysuria, hematuria, systemic symptoms 2

Concurrent Orders

  • Upper tract imaging (CT urography) - baseline for surveillance, repeat every 1-2 years to detect metachronous upper tract disease 2, 7
  • Smoking cessation program referral if applicable 2

Month 3: First Surveillance Cystoscopy

Orders

  • Cystoscopy with bladder biopsies - assess for complete response 2, 6
  • Urine cytology 2, 6
  • If complete response: Proceed with BCG maintenance therapy 2

Result: Complete response - no visible tumor, negative cytology, negative biopsies


Month 3: BCG Maintenance Initiation

Maintenance Schedule Orders

  • Intravesical BCG 81 mg - 3 weekly instillations at months 3,6,12,18,24,30, and 36 2
  • Cystoscopy with cytology every 3 months for first 2 years, then every 6 months through year 5, then annually 1, 2, 6
  • CT urography every 1-2 years for upper tract surveillance 2, 7

Ongoing Patient Counseling Throughout Treatment

BCG Therapy Education

  • Explain that BCG is the most effective intravesical therapy for high-risk NMIBC, reducing recurrence and progression rates 2, 4
  • Discuss common side effects: dysuria (90%), frequency (90%), hematuria (40%), low-grade fever (25%) 2
  • Warn about serious complications requiring immediate evaluation: high fever >101°F, severe dysuria preventing voiding, persistent hematuria, systemic symptoms suggesting BCG sepsis 2
  • Emphasize that maintenance therapy is critical - most benefit comes from completing the full 3-year maintenance protocol 2

Surveillance Importance

  • Explain that lifelong surveillance is mandatory due to 50-70% recurrence risk even with BCG therapy 6
  • Discuss that cystoscopy every 3 months is necessary to detect early recurrence when treatment is most effective 2, 6
  • Counsel that upper tract imaging must continue long-term because upper tract tumors can develop years after bladder cancer diagnosis 7

BCG Failure Planning

  • Explain that if cancer recurs despite BCG therapy (BCG-unresponsive disease), radical cystectomy becomes strongly recommended 2, 3
  • Discuss that pembrolizumab (checkpoint inhibitor immunotherapy) is FDA-approved for BCG-unresponsive CIS in patients who decline or are ineligible for cystectomy 8

Quality of Life Considerations

  • Address sexual function concerns - BCG therapy preserves bladder and sexual function compared to cystectomy 3
  • Discuss impact on daily activities - BCG instillations require 2-hour retention and temporary activity restriction 2
  • Provide psychological support resources - cancer diagnosis and chronic surveillance create significant anxiety 3

Alternative Scenario: Muscle-Invasive Disease (pT2)

If pathology showed muscle invasion (pT2 or higher), management would differ:

Staging for Muscle-Invasive Bladder Cancer (MIBC)

  • CT chest, abdomen, and pelvis with contrast - evaluate for metastatic disease 1
  • Bone scan if bone pain, elevated calcium, or elevated alkaline phosphatase 1
  • PET-CT may be considered for equivocal findings 1

Treatment Orders for MIBC

  • Neoadjuvant chemotherapy - cisplatin-based combination (gemcitabine-cisplatin or dose-dense MVAC) for 3-4 cycles before surgery, improves survival compared to surgery alone 1, 2
  • Radical cystoprostatectomy with bilateral pelvic lymph node dissection after neoadjuvant chemotherapy 1, 2
  • Urinary diversion: ileal conduit (urostomy bag) or orthotopic neobladder (internal pouch) 2

MIBC Patient Counseling

  • Explain that muscle-invasive disease requires aggressive treatment with radical cystectomy to prevent metastasis and death 1, 2
  • Discuss that neoadjuvant chemotherapy before surgery improves survival by approximately 5-8% at 5 years 2
  • Counsel on urinary diversion options:
    • Ileal conduit: external urostomy bag, simpler surgery, fewer complications
    • Neobladder: internal pouch allowing voiding through urethra, preserves body image but requires intermittent catheterization in 20-30% of patients 2
  • Address sexual function: nerve-sparing techniques can preserve erectile function in select patients, but most men experience erectile dysfunction requiring treatment 2
  • Discuss fertility: sperm banking must occur before chemotherapy - chemotherapy causes permanent infertility 3

Key Clinical Pitfalls to Avoid

Diagnostic Pitfalls

  • Never skip upper tract imaging - 2.5% of bladder cancer patients have synchronous upper tract tumors that require different management 1, 2, 7
  • Always obtain detrusor muscle in TURBT specimen - absence of muscle prevents accurate staging and may necessitate repeat resection 1
  • Do not rely on urine cytology alone - sensitivity is only 16% for low-grade tumors 1

Treatment Pitfalls

  • Never omit repeat TURBT for high-risk NMIBC - 10-30% of patients have occult muscle invasion that changes management from BCG to cystectomy 3
  • Do not start BCG therapy without adequate healing - wait 2-4 weeks after TURBT to prevent systemic BCG absorption and sepsis 2
  • Never give BCG during active urinary tract infection or gross hematuria - risk of BCG sepsis 2
  • Do not skip BCG maintenance therapy - most benefit comes from completing the full 3-year maintenance protocol 2

Surveillance Pitfalls

  • Never discharge patients from surveillance - bladder cancer recurs throughout lifetime, requiring lifelong cystoscopy 2, 6
  • Do not forget upper tract surveillance - continue CT urography every 1-2 years indefinitely for high-risk patients 2, 7
  • Never delay cystectomy for BCG-unresponsive disease - persistent high-grade disease after adequate BCG therapy requires radical cystectomy to prevent progression and death 2, 3

Summary of Complete Order Set

Initial evaluation: CBC, CMP, urinalysis, urine cytology, CT urography, urology consultation 1, 2

TURBT procedure: Bimanual exam, complete resection with separate specimens (tumor edges, base, random biopsies, prostatic urethra) 1, 2

High-risk NMIBC staging: CT chest, repeat TURBT within 4-6 weeks, multidisciplinary consultation 3

BCG therapy: Induction (6 weekly instillations) followed by maintenance (3 weekly instillations at months 3,6,12,18,24,30,36) 2

Surveillance: Cystoscopy with cytology every 3 months for 2 years, then every 6 months through year 5, then annually; CT urography every 1-2 years 2, 7, 6

MIBC treatment: Neoadjuvant cisplatin-based chemotherapy followed by radical cystectomy with lymph node dissection and urinary diversion 1, 2

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Diagnosis and Management of Bladder Cancer

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Evaluation and Management of High-Risk Non-Muscle-Invasive Bladder Cancer

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

Bladder Cancer: A Review.

JAMA, 2020

Research

Bladder Cancer: Diagnosis and Treatment.

American family physician, 2017

Guideline

Upper Tract Imaging in Bladder Cancer Surveillance

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

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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