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After biopsy

9 years 6 months ago #33126 by mmc
It's always good to get it taken care of quickly. I think he wants to be absolutely sure that it is completely benign and they get good margins.

If it is as it sounds, you most likely (check those numbers again) won't ever be cancer. Regular follow up and monitoring will probably be in the cards and don't ignore those.

Best of luck!

Mike

Age 54
10/31/06 dx CIS (TisG3) non-invasive (at 47)
9/19/08 TURB/TUIP dx Invasive T2G3
10/8/08 RC neobladder(at 49)
2/15/13 T4G3N3M1 distant metastases(at 53)
9/2013 finished chemo -cancer free again
1/2014 ct scan results....distant mets
2/2014 ct result...spread to liver, kidneys, and lymph...

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9 years 6 months ago #33125 by Patricia
Nothing wrong with things being done quickly. I'm sure its to rule out anything more ominous. But having said that you have the #1 Urology Hospital in the country right in Baltimore at Johns Hopkins and also tops in bladder cancer, kidney stones, or anything relating to the urinary tract. None of this is meant to alarm you...just to keep you on the right track. The top specialist at Hopkins is Dr. Mark Schoenberg
http://urology.jhu.edu/markschoenberg/index.php
He does have an email address and is very good about answering questions and extremely helpful.
Pat

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9 years 6 months ago #33124 by Akhnaten
Hrm, that's what I thought. This was all being scheduled very quickly. I wonder what to think about that.

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9 years 6 months ago #33123 by Alan
As Patricia and Mike implied, you need a URO that does a lot of bladder work (yours doing part time weekend TURBs doesn't quite fill that) or major teaching/bladder center. I am sure others will chime in but, standared of care is (can't really think of a time where 2nd shouldn't be done if a tumor was found on the 1st) always a 2nd TURB to confirm margins and grade.

DX 5/6/2008 TAG3 papillary tumor .5 CM in size. 2 TURBS followed by 6 instillations of BCG weekly with a second round of 6 after a 6 week wait.

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9 years 6 months ago #33120 by Akhnaten
Also I'm given to understand from my readings that the benign/malignant line can be a little bit fuzzy scientifically. A bladder papilloma is more serious---because it can upgrade---than a fibroepithelial tumour which really *is* benign.

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9 years 6 months ago #33119 by Akhnaten
mmc: It was intended as a morbid statistics joke along the lines of "a little bit pregnant", riffing off the 5-10% risk of malignant transformation which is the only real reason to bother to get it removed. :)

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