Case #2
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Physical Exam
04/28/XX
No breast masses. No abd masses.
X-Rays & Scans
04/28/XX
CXR normal
04/28/XX
Abdom CT: Reveals a 2.5 cm mass on R side of bladder wall, confined to the bladder
05/03/XX
Bone scan: NEG
Scopes/Lab
04/28/XX
WBC + plts: High; anemic
04/28/XX
Urinalysis: Gross blood visible and massive volume of RBCs present in urine
Operative Findings
04/28/XX
Exploratory; bx of obvious R bladder wall carcinoma, grossly confined to bladder wall; patient refused recommended resection
05/26/XX
Bx of enlarged R inguinal LN
Pathological Reports
04/28/XX
Bx of bladder wall: Undiff. carcinoma
05/26/XX
R inguinal LN: Undiff carcinoma, most likely metastatic from known bladder ca
Treatment
04/28/XX
Chemotherapy, multiple agents: Platinol, Methotrexate, Vinblastine, Adria



