This is the updated #Algorithm for #BladderCancer . Nivo/Gem/Cis was not approved at the time of this discussion w/ Karine Tawagi MD and Sia Daneshmand, M.D. but has been incorporated in this is mage below.

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Oncology Brothers Karine Tawagi MD Sia Daneshmand, M.D. CancerNetwork® Bijoy Telivala Yakup Ergün Andrea Apolo, M.D. Santhosh Ambika Amanda Nizam, MD Petros Grivas Shilpa Gupta Enrique Grande Tom Powles Paulo G Bergerot Very nice, although please note radical cystectomy is not the only standard of care for MIBC. It’s just that we’re biased towards surgery in the USA. Bladder preservation is also NCCN category 1 and should not be biased towards frail.