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Case #2

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Expand Physical Exam

04/28/XX

No breast masses. No abd masses.

Expand 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

Expand Scopes/Lab

04/28/XX

WBC + plts: High; anemic

04/28/XX

Urinalysis: Gross blood visible and massive volume of RBCs present in urine

Expand 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

Expand 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

Expand Treatment

04/28/XX

Chemotherapy, multiple agents: Platinol, Methotrexate, Vinblastine, Adria