How would you approach locally advanced bladder cancer in a patient on hemodialysis?
What systemic therapy do you use? Do you incorporate any multi-modality therapies?
Answer from: Medical Oncologist at Academic Institution
It depends on "locally advanced" setting; resectable or unresectable tumor?If resectable and not metastatic may consider radical cystectomy and LN dissection in good surgical candidates; however bladder preservation approach can be considered in well selected patients, e.g. small unifocal tumors wit...