Case #4
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Physical Exam
01/21/XX
73-year-old female presented with gross hematuria.
PE unremarkable
X-Rays & Scans
01/24/XX
CXR NEG
01/17/XX
IVP Large right-sided bladder mass
01/25/XX
CT Pelvis: No evid distant mets
Scopes/Lab
01/17/XX
CBC Normal
Operative Findings
01/21/XX
TURB: Huge bladder tumor on R lateral wall, more than 5 cm, fungating type.
Pathological Reports
01/21/XX
TURB: 5 x 5 x 1.5 cm pap trans cell CA, grade II/IV with superficial muscle invasion
Treatment
01/21/XX
Surgery: Transurethral resection of bladder tumor (TURBT)
02/17/XX
Radiation: Curative radiation to bladder 46 Gy, 6 MV photons, boost to 60 Gy, IMRT, 30 fractions.
02/17/XX
Chemotherapy: Cisplatin concurrent with radiation



