Jorgen Bjerggaard Jensen, MD, Aarhus University Hospital, Aarhus, Denmark, comments on the impact of the TOMBOLA trial (NCT04138628), which assessed the use of circulating tumor DNA (ctDNA) to guide post-operative treatment in patients with high-risk bladder cancer. One-third of these patients might be able to skip adjuvant therapy, thereby emphasizing the possibility of personalized treatment strategies. He also emphasizes the shift towards considering treatment during biochemical recurrence rather than traditional adjuvant therapy, particularly as low-risk patients still face recurrence. interview took place at the European Society for Medical Oncology (ESMO) 2024 Congress in Barcelona, Spain.
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