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A 38 year old hepatitis C and Hemophilia Type A patient presented with recurrent hematuria since 6 months. Investigations revealed a 5 cm lesion in the lateral wall of the bladder with perivesical fat stranding. PET CT showed a FDG avid lesion measuring 4 cms in the bladder with non FDG avid Iliac nodes. Bladder preserving protocols were not considered in this patient in view of the need for further adjuvant treatment. Patient underwent a Radical cystectomy with bilateral pelvic lymph node Dissection and Ileal Neo-bladder after optimisa
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