A 69-year-old woman presented to the emergency department with gross hematuria. Cystoscopic examination of the bladder (shown in video) revealed a papillary mass protruding through the ureteral orifice with ureteral peristalsis. Learn more about urothelial carcinoma: http://nej.md/2BGOiRN | The New England Journal of Medicine

10K views · 197 reactions | Radical surgery, the standard of care in muscle-invasive urothelial carcinoma, is performed with curative intent, but more than 50% of patients have lethal metastatic recurrence. Adjuvant chemotherapy may prolong disease-free survival, but no consensus regarding routine therapy has emerged. New research findings are summarized in a short video. https://nej.md/2Rc0JTv | The New England Journal of Medicine | Facebook