30.一位 40 歲男性被診斷有多發性、高分級的第一期尿路上皮癌 (multi-focal, T1
high-grade urothelial cancer),其手術切片檢體包含肌肉層組織 (muscle was present
in the biopsy specimen)。請問下一步處置,何者最合適?
(A) 卡介苗(BCG)灌注
(B) 考慮重複經尿道膀胱腫瘤刮除術(Repeat TURBT)
(C) 立即執行根除性膀胱切除術(Radical cystectomy)
(D) 馬上做 mitomycin C 灌注(Immediate mitomycin C instillation)
(E) 給予術前化療(Neoadjuvant chemotherapy),接著切除膀胱(radical cystectomy)