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Case #5

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Expand Physical Exam

01/21/XX

48-year-old male; works in tanning factory.
No abd masses; prostate is normal size, but is immobile

Expand X-Rays & Scans

01/21/XX

CXR NEG

01/27/XX

IVP 2.5 cm bladder tumor arising at the urethral orifice, question prostatic and urethral extension

Expand Scopes/Lab

01/21/XX

CBC Normal

Expand Operative Findings

01/27/XX

TURB: Polypoid bladder tumor at the urethral orifice, somewhat bulky, suggest resection

01/28/XX

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

Expand Pathological Reports

01/27/XX

TURB: Mult fragments, Mod Diff invasive transitional cell ca

01/28/XX

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

Expand Treatment

01/27/XX

Transurethral resection (TURBT)

01/28/XX

Cystectomy, LN dissection, prostatectomy

03/10/XX

Multi-agent chemotherapy (gemcitabine, cisplatin)