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Cysto and TURBT






                • Aggressive-appearing right posterior and lateral wall bladder tumour with an


                   extremely wide base


                                                                                          DIAGNOSES
                • TURBT path:                                                             BLADDER, BIOPSY:

                                                                                          − INVASIVE HIGH-GRADE UROTHELIAL CARCINOMA
                                                                                          − TUMOR INVADES (AT LEAST) MUSCULARIS PROPRIA


                                                                                          SPECIMEN SUBMITTED
                                                                                          Bladder tumor

                • Assessed the patient for NAC


                       ‒ ECOG 1, no hearing loss, no heart failure

                       ‒ Bloodwork:
                                                                                          CHEMISTRY GENERAL
                                                                                          > Sodium                  132            L             135-145 mmol/L
                                                                                          > Potassium               5.0                          3.5-5.0 mmol/L
                                                                                          > Chloride                95             L             98-108 mmol/L
                                                                                          > Bicarbonate             22                           20-30 mmol/L
                                                                                          > Anion Gap               15                           3-16 mmol/L
                                                                                          > Urea                    8                            2-9 mmol/L
                                                                                          > Creat                   116            H             45-110 umol/L
                                                                                          > EGFR                    53             L              >60 mL/min

                                                                                                                                           Calculated CrCl: 44 ml/min
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