A patient with non-muscle-invasive bladder cancer (NMIBC) undergoes TURBT. Pathology shows a solitary, 3 cm, high-grade Ta tumor. According to EORTC risk tables, this patient falls into which risk category?

• A High risk ✓
• B Intermediate risk
• C Low risk
• D Very high risk

Explanation

High-grade T1 tumors or high-grade Ta tumors >3 cm (or multifocal) are classified as high risk by EORTC guidelines. This patient has a high-grade Ta tumor >3 cm, placing him in the high-risk category requiring intravesical BCG therapy. Low risk is solitary low-grade Ta <3 cm.

Reference: Campbell-Walsh-Wein Urology, 12th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.