How do you approach a patient with inoperable urothelial carcinoma of the bladder with persistent non-muscle invasive disease despite intravesical BCG/IFN and intravesical chemotherapy?  

Would you recommend radiation and/or systemic therapy? If you would irradiate, what would your fields/volumes look like? 

Answer from: Radiation Oncologist at Academic Institution
Medical Oncologist at University of Washington School of Medicine
Great answer by the excellent @Omar Y. Mian. The S...
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