How do you manage a bladder cancer patient who had a partial cystectomy with a positive margin?  

In fewer than 5% of bladder cancer patients, partial cystectomy along with neoadjuvant cisplatin-based chemotherapy can be considered for stage II (cT2, N0) disease with a single tumor in a suitable location and no presence of carcinoma in situ, where an adequate margin of soft tissue and an adequat...

Admittedly, I have not seen this precise situation. Presumably, that is because surgeons rarely perform partial cystectomy (radical is the standard of care). If they did and had a positive margin, presumably they would complete the radical and be done. Overall, my enthusiasm for "adjuvant" RT in thi...