Case 2025: Joaquim (expert opinion by M. De Santis)

After retiring, 69-year-old Joaquim discovered a new passion: petanca. He founded a club in the local park, where neighbours gather twice a week to enjoy the game. Although he is thrilled by how popular the club has become, his newfound rivals are proving to be a tough challenge.

He presented with frequent urination and painless haematuria.

Assessment summary:

• Medical history: hypertension 
• ECOG PS: 0
• Cystoscopy: 1 papillary tumour of 4 cm at the left bladder wall
• Urine cytology: HG UCa (according to the Paris system)
• Conventional TURBT: resection visually complete, pathological review:
  • T1 HG
  • Pure UCa
  • Unifocal, no concomitant CIS
  • No LVI
  • Muscle in specimen
• CT urography: cN0, no concomitant upper tract tumour

He underwent a second TURBT, which revealed no residual papillary tumour.