Case 2023: Raquel (expert opinion by P. Sargos)

Raquel, 70 years old, once spilled a bowl of gazpacho on a tourist’s lap during her working days as a waitress. The tourist jumped up shouting that it was burning hot, upon which Raquel asked whether he was sure about that. They both had a really good laugh about it and continue to remain good friends …

She was recently diagnosed with MIBC (cT3b cN0 cM0) and received 4 cycles of neoadjuvant GC followed by RC + PLND.

Postoperative assessment summary:

• eGFR: 65 ml/min
• ECOG PS: 0
• Imaging: cM0
• Cardiac ejection fraction: 70%
• Pathological review RC specimen:
  • ypT3 ypN0 (0/10)
  • R1 (soft tissue positive margin)
  • PD-L1 positive