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48-year-old male; works in tanning factory.
No abd masses; prostate is normal size, but is immobile
IVP 2.5 cm bladder tumor arising at the urethral orifice, question prostatic and urethral extension
TURB: Polypoid bladder tumor at the urethral orifice, somewhat bulky, suggest resection
Exploratory laparotomy, total cystectomy and lymph node dissection, and prostatectomy (with seminal vesicles); bladder tumor was fixed to and involved the prostatic urethra and the prostate
TURB: Mult fragments, Mod Diff invasive transitional cell ca
Total cystectomy, LN dissect, and prostatectomy: Mod Diff TCC of the bladder w/ invasion of the prostatic urethra and gross prostate; 2 of 5 iliac LNs (all less than 2 cm) and 4 of 6 inguinal LNs (no size given) are + for mets
Transurethral resection (TURBT)
Cystectomy, LN dissection, prostatectomy
Multi-agent chemotherapy (gemcitabine, cisplatin)