In this video, Trinity J. Bivalacqua, MD, PhD, presents the case of a 63-year-old man with history of carcinoma in situ (CIS) found to have low-grade Ta non-muscle invasive bladder cancer. He had persistent positive cytology for high-grade urothelial cancer. He received bacillus Calmette-Guérin more than 12 months previously for CIS. When he returned for a second opinion about management, a cysto biopsy with hexaminolevulinate (HAL [Cysview]). was recommended. HAL was able to identify CIS, which was only visible on blue light cystoscopy. The patient is now receiving induction BCG. Dr. Bivalacqua is the R. Christian B. Evensen Professor, director of urologic oncology, and associate professor of urology, surgery, and oncology at Johns Hopkins School of Medicine, Baltimore.
Dr. Bivalacqua conducts clinical trials for Taris Biomedical, Photocure, FKD Therapies Oy, NCI, Genentech, and Tissuegenesis. He is a consultant for Photocure.
(Video courtesy of Trinity J. Bivalacqua, MD, PhD)
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