Target audience : Oncology fellows and Oncologists. Four challenging cases of Bladder cancer and managing decisions including latest management principles are discussed here.

1. Bladder Cancer Case presentations and discussion Target Audience : Oncology Fellows, Oncology physicians, Oncologists Archer Board Review Courses www.Ccsworkshop.com

2. Case 1 Chief Complaint: 74 y/o woman with history of baldder cancer admitted for Partial Cystectomy

11. Final Diagnosis Bladder cancer, T1N0M0 Stage I

13. Case 2 85 y/o woman with history of bladder cancer and carcinoma in-situ

18. Case 3 73 y/o man with initially diagnosed carcinoma in-situ later presenting with muscle invasive bladder cancer.

22. Case 4 88 y/o man with hx of metastatic bladder cancer.

25. Bladder Cancer Polychronotropic Recurring in time and space any where along the urothelial tract ( from renal pelvis to proximal two-thirds of urethra)

29. Staging

30. Stage grouping Stage 0a Ta N0 M0 Stage 0is Tis N0 M0 Stage I T1 N0 M0 Stage II T2a N0 M0 T2b N0 M0 Stage III T3a N0 M0 T3b N0 M0 T4a N0 M0 Stage IV T4b N0 M0 Any T N1 M0 Any T N2 M0 Any T N3 M0 Any T Any N M1

37. Superficial Bladder Cancer

38. Superficial Bladder Cancer

42. Muscle Invasive Bladder Cancer - Radiotherapy

50. End Questions?