What happens if nothing happens?--History of an untreated urothelial carcinoma of the bladder.
Bladder cancer is controllable when adequately diagnosed and treated according to current recommendations. Radical cystectomy with urinary diversion is the standard therapy for muscle invasive tumors. In patients unfit or unwilling to get radical surgery, external beam or combined chemo-radiotherapy display alternative treatment options and can be safely performed. Every therapy implies the patient's disposition to cooperate.


METHODS
This case report describes the clinical course over 31 months after initial diagnosis of a 56-years-old Caucasian, white man with an initial pT1G3 urothelial carcinoma of the bladder. The patient denied early radical cystectomy, radio-chemotherapy and almost all alternative treatment possibilities. He finally died 31 months after initial verification of the disease.
Department of Urology, Lukas Hospital, Neuss, Germany.
H
H
Gerullis
T H
TH
Ecke
M
M
Wishahi
E
E
Georgas
C
C
Eimer
T
T
Otto
D000970:Antineoplastic Agents / Q000627:therapeutic use; D002277:Carcinoma / Q000473:pathology* / Q000628:therapy*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D001749:Urinary Bladder Neoplasms / Q000473:pathology* / Q000628:therapy*; D019459:Urothelium / Q000473:pathology*
D000970:Antineoplastic Agents