Urothelial Carcinoma: Muscle-Invasive and Metastatic Disease
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Timothy Lindsay, MD
Lewis Katz School of Medicine, Temple University Health System, Philadelphia, PA

Matthew Zibelman, MD

Assistant Professor of Genitourinary Medical Oncology, Fox Chase Cancer Center, Philadelphia PA

Question 1 of 5

A 70-year-old man with a past medical history of tobacco abuse is evaluated by his urologist for hematuria. An initial diagnostic cystoscopy reveals a single 0.8-cm papillary nodule. A biopsy is performed, which reveals high-grade urothelial carcinoma.

What is the next best step in the evaluation of this patient’s cancer stage?

Follow up in 3 months for repeat cystoscopy to evaluate for disease progression

Obtain a computed tomography (CT) scan with and without contrast of the chest, abdomen, and pelvis

Perform an intravenous pyelogram

Schedule the patient for cystectomy with regional lymph node dissection

Schedule the patient for positron emission tomography (PET)-CT imaging

Schedule the patient for transurethral resection of bladder tumor

Hospital Physician: Hematology/Oncology. 2018 August;13(4)

This quiz is not accredited for CME.

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