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Why not BCG after TURBT instead of only surveillance?

5 months 3 weeks ago #62068 by sara.anne
Replied by sara.anne on topic Why not BCG after TURBT instead of only surveillance?
BCG is very effective in preventing recurrence with HIGH GRADE non-invasive bladder cancer....not so much with low grade.  Since BCG is not without side effects, your urologist is correct in advising close surveillance for a while instead.

Sara Anne
Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
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The following user(s) said Thank You: brandbr, SCindaburg

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5 months 3 weeks ago #62067 by SCindaburg
Why not BCG after TURBT instead of only surveillance? was created by SCindaburg
Hello.

My recent TURBT found low-grade, noninvasive papillary carcinoma (Ta) presenting in multiple tumors.

I was glad for that diagnosis but surprised that the advised course of action was only surveillance (beginning in three months) instead of an initial instillation of BCG. (I'm a man in his early 50s) My cursory (and nonexpert) reading of the literature found that BCG could lower the otherwise high recurrence rate, especially given the multiple tumors at diagnosis. Is this issue an ongoing debate in treatment? Have others been advised differently?

Many thanks in advance.

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